Synovial chondromatosis of the temporomandibular joint with calcium pyrophosphate dihydrate crystal deposition disease (pseudogout)

Dentomaxillofac Radiol. 2012 Dec;41(8):703-7. doi: 10.1259/dmfr/24183821.

Abstract

This report describes a very rare case of synovial chondromatosis with deposition of calcium pyrophosphate dihydrate (CPPD) crystals (pseudogout) in the temporomandibular joint (TMJ) of a 46-year-old male patient. Synovial chondromatosis is a non-neoplastic disease characterized by metaplasia of the connective tissue leading to chondrogenesis in the synovial membrane. Pseudogout is an inflammatory disease of the joints caused by the deposition of CPPD, producing similar symptoms to those observed in gout but not hyperuricaemia. Both diseases commonly affect the knee, hip and elbow joints, but rarely affect the TMJ.

Publication types

  • Case Reports

MeSH terms

  • Calcium Pyrophosphate / analysis
  • Chondrocalcinosis / diagnostic imaging*
  • Chondromatosis, Synovial / diagnostic imaging*
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Radiography, Panoramic
  • Temporomandibular Joint Disorders / diagnostic imaging*
  • Tomography, X-Ray Computed

Substances

  • Calcium Pyrophosphate