Acute calcific periarthritis—a commonly misdiagnosed pathology

Acute calcific periarthritis (ACP) is a self-limiting, monoarticular, peri-articular process of dystrophic mineral deposition and adjacent inflammation. Patients present with a sudden onset of pain, localised swelling, erythema, tenderness and restricted range of motion. Symptoms reduce in severity...

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Bibliographic Details
Published in:Skeletal radiology 2022-08, Vol.51 (8), p.1553-1561
Main Authors: Dimmick, Simon, Hayter, Catherine, Linklater, James
Format: Article
Language:English
Subjects:
Arthritis
Bone marrow
Bursitis
Calcification
Calcinosis - pathology
Diagnostic Errors - prevention & control
Disease
Edema
Erythema
Gout
Humans
Hydroxyapatite
Imaging
Inflammation
Magnetic resonance imaging
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Nuclear Medicine
Orthopedics
Pain
Pathology
Pathophysiology
Periarthritis - diagnosis
Periarthritis - pathology
Periarthritis - therapy
Radiology
Range of motion
Review
Review Article
Rheumatism
Signs and symptoms
Ultrasonic imaging
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Summary:Acute calcific periarthritis (ACP) is a self-limiting, monoarticular, peri-articular process of dystrophic mineral deposition and adjacent inflammation. Patients present with a sudden onset of pain, localised swelling, erythema, tenderness and restricted range of motion. Symptoms reduce in severity within 4–7 days and self resolve in 3–4 weeks. ACP is commonly misdiagnosed, in particular, as infective or inflammatory pathologies such as septic arthritis and gout. This condition has specific imaging findings which allows differentiation from other disorders when combined with the clinical presentation. Prompt diagnosis results in appropriate management and reduces the likelihood of unnecessary diagnostic and therapeutic procedures.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-022-04006-8