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© 1993 British Society for Rheumatology

case-report

PSEUDOGOUT PROVOKED BY PREGNANCY

M. REGAN, A. K. CLARKE* and M. DOHERTY

Rheumatology Unit, City Hospital Nottingham
*Royal National Hospital for Rheumatic Diseases, Bath

Correspondence to: Correspondence to M. Regan, Rheumatology Unit, City Hospital, Nottingham NG5 1PB

Four women with chondrocalcinosis are described. Each developed acute attacks of synovitis during pregnancy (confirmed pseudogout, two; presumptive pseudogout, two). All patients had recognized predisposing factors (metabolic, familial, traumatic) for premature calcium pyrophosphate deposition, and in three this was their first episode of synovitis. This first report of provocation of pseudogout by pregnancy is of interest in respect of putative mechanisms of crystal shedding.

KEY WORDS: Pseudogout, Calcium pyrophosphate, Chondrocalcinosis, Pregnancy


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