A case of the calcium pyrophosphate dihydrate (CPPD) deposition disease without condylar destruction of the temporomandibular joint

A case of the calcium pyrophosphate dihydrate (CPPD) deposition disease without condylar destruction of the temporomandibular joint
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无颞下颌关节髁突破坏的二水焦磷酸钙(CPPD)沉积病一例

DOI:
10.1111/j.1440-1827.1997.tb04552.x
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发表时间:
1997
影响因子:
2.2
通讯作者:
Klyoshi Ooya
Klyoshi Ooya
中科院分区:
医学4区
文献类型:
--
作者:
K. Onodera;R. Ichinohasama;Masaji Saito;Klyoshi Ooya

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焦磷酸钙二水合物(CPPD)沉积疾病,发生在一个罕见的网站在颞下颌关节(TMJ)的情况下,提出。一名48岁的女性发现左脸颊耳前区肿胀,限制了她的张口。放射线检查显示颞下颌关节左侧间隙的后内侧区域存在不透射线的病变。手术过程中,上级关节间隙完全充满了白色灰白色固体。病变部分附着于盘后组织,髁突周围及下颌骨形态无破坏性改变。组织学检查显示,无定形结晶材料的病灶包含菱形、杆状和针状晶体,在致密纤维背景中存在软骨组织,并混合有慢性炎症细胞和异物型巨细胞。晶体对von Kossa染色呈阳性,通过电子探针微量分析,磷和钙的光谱峰是明显的,从而表明CPPD的存在。
The case of caiclum pyrophosphate dihydrate (CPPD) deposition disease, which occurred at a rare site in the temporomandibular Joint (TMJ), is presented. A 48‐year‐old woman noted swelling in the preauricular area of her left cheek, which restricted her mouth opening. Radiological examination reveaied a radiopaque lesion in the posterior and medial area of the left space of the TMJ. During the opsration, the superior Joint space was entirely filled with a solid and whitish‐gray mass of chalky appearance. The lesion was partiy attached to the retrodiscal tissue without any destructive change around the condyle and mandibular form. Histological examination revealed the focl of amorphous crystalline material to contain rhomboidal, rod and needle shaped crystals, which had cartilaginous tissue in the dense fibrous background admixed with chronic inflammatory cells and foreign body‐type giant cells. The crystals were positive for von Kossa's stain and spectral peaks for phosphorus and caiclum were evident by electron probe microanalysis, thus suggesting the presence of CPPD.
器官培养中正常哺乳动物关节透明和纤维软骨释放焦磷酸盐。
DOI: 10.1002/art.1780241211
发表时间: 1981
影响因子: --
作者:
Ryan,LM;Cheung,HS;McCarty,DJ
通讯作者: McCarty,DJ