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© 1992 British Society for Rheumatology

case-report

TOPHACEOUS PYROPHOSPHATE DEPOSITION WITH EXTENSOR TENDON RUPTURE

A. JONES, N. BARTON*, M. PATTRICK and M. DOHERTY

Rheumatology Unit, City Hospital Nottingham
*Harlow Wood Orthopaedic Hospital near Mansfield

Correspondence to: Correspondence to Dr A. Jones, Rheumatology Unit, City Hospital, Hucknall Road, Nottingham NG6 1PB.

Tophaceous deposition of calcium pyrophosphate dihydrate (CPPD) crystals is considered unusual as is deposition within tendon sheaths. Associated tendon rupture is described but is rare. We report a lady with tophaceous CPPD deposition at the wrist, a previously unreported site. Contrary to previous cases, this occurred in the setting of symptomatic, polyartic-ular, pyrophosphate arthropathy. An additional point of interest was development of associated extensor tendon rupture with features favouring a non-inflammatory mechanism of tendon damage.

KEY WORDS: Calcium pyrophosphate, Tophaceous deposition, Tendon rupture, Pyrophosphate arthropathy


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