Articular chondrocalcinosis : diagnosis and treatment

Chondrocalcinosis (pseudogout) - a chronic slowly progressively disease caused by deposition of microcrystals of calcium salts (pyrophosphate) in the articular cartilage and periarticular tissues.

If you suspect chondrocalcinosis (pseudogout) requires a number of measures to establish an accurate diagnosis.

survey of suspected chondrocalcinosis

  • Complete blood count (increased erythrocyte sedimentation rate (ESR), leukocytosis).
  • biochemical analysis of blood (uric acid is usually normal, the determination of rheumatoid factor, tissue enzymes, protein fractions and the like).
  • Serology Serum (presence seromucoid, ci2- and 7 "globulins).
  • Radiography of the joints and spine, computed tomography (calcified determine inclusion in the articular cartilage and intervertebral discs, common degenerative dystrophic changes in the type of deforming osteoarthritis).
  • study of synovial fluid from the bacteriological study (microcrystals pyrophosphate, leukocytosis).
  • biopsy of the synovial membrane (the phe
    nomenon of inflammation on a background of degenerative changes, deposition of hemosiderin and crystals of pyrophosphate).
  • ultrasound of the joints, thyroid gland, parathyroid glands.
  • Consultation endocrinologist,orthopedists and other specialists
  • When genetic form of calcification -.. genetic counseling

Basic principles of treatment chondrocalcinosis

during an exacerbation a course of anti-inflammatory therapy with non-steroidal anti-inflammatory drugs, analgesics to treat acute pain, topical therapy (ointments, gels, compresses).If

revealed pronounced accumulation of fluid in the joint cavity, carried out local treatment with glucocorticoids.

good effect have physiotherapy (ultrasound, diadynamic currents, phonophoresis glucocorticoids, diathermy, inductothermy, laser therapy, magnetic therapy, etc.), massage, osteopathic therapy, acupuncture, hirudotherapy.

If it affects the large joints in some cases, radiation therapy is carried out.

in remission shown spa treatment (mud and paraffin applications on painful joints, hydrogen sulfide, radon and bath RPMA, other balneotherapy), as well as physical therapy, diet, herbal medicine, appropriate work and rest mode.

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