顎関節下関節腔に生じた偽痛風の1例

Pseudogout is a disease caused by calcium pyrophosphate dehydrate （CPPD） deposition in a joint and occurs most often in the knee joint. Eighteen reports of pseudogout arising from in the temporomandibular joint （TMJ） have been published in the Japanese literature. We report a rare case of pseudogout...

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Published in日本口腔外科学会雑誌 Vol. 57; no. 11; pp. 601 - 605
Main Authors 山内, 健介, 高橋, 哲, 石川, 文隆, 山下, 善弘, 宮本, 郁也, 山本, 哲彰
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.11.2011
Subjects
ピロリン酸カルシウム結晶
偽痛風
顎関節
Online AccessGet full text
ISSN0021-5163
2186-1579
DOI10.5794/jjoms.57.601

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Abstract Pseudogout is a disease caused by calcium pyrophosphate dehydrate （CPPD） deposition in a joint and occurs most often in the knee joint. Eighteen reports of pseudogout arising from in the temporomandibular joint （TMJ） have been published in the Japanese literature. We report a rare case of pseudogout in the inferior joint space of the TMJ of a 59-year-old man. He was referred to our department because of pain and trismus in the right TMJ. A computed tomographic scan and a magnetic resonance image of the area showed a calcified mass anterior to the right condylar head. Extirpation of the calcified mass was performed under general anesthesia, and a white, chalky mass was removed. Scanning electron microscopy and X-ray diffraction showed CPPD in the calcified mass. No signs or symptoms of recurrence have occurred after a 1-year follow-up.
AbstractList Pseudogout is a disease caused by calcium pyrophosphate dehydrate （CPPD） deposition in a joint and occurs most often in the knee joint. Eighteen reports of pseudogout arising from in the temporomandibular joint （TMJ） have been published in the Japanese literature. We report a rare case of pseudogout in the inferior joint space of the TMJ of a 59-year-old man. He was referred to our department because of pain and trismus in the right TMJ. A computed tomographic scan and a magnetic resonance image of the area showed a calcified mass anterior to the right condylar head. Extirpation of the calcified mass was performed under general anesthesia, and a white, chalky mass was removed. Scanning electron microscopy and X-ray diffraction showed CPPD in the calcified mass. No signs or symptoms of recurrence have occurred after a 1-year follow-up.
Author 山本, 哲彰
山下, 善弘
高橋, 哲
宮本, 郁也
山内, 健介
石川, 文隆
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References 18) Matsuo, A., Uchida, M., et al.: A case of pseudogout the temporomandibular joint. Jpn J Oral Diag/Oral Med 14: 253-258 2001.
5) 久我芳昭：CPPD 結晶. リウマチ科 27: 90-96 2002.
10) Mogi, G., Kuga, M., et al.: Chondrocalicinosis of the temporomandibular joint. Calcium pyrophosphate dehydrate deposition disease. Arch Otolaryngol Head Neck Surg 113: 1117-1119 1987.
16) Nakagawa, Y., Ishibashi, K., et al.: Calcium pyrophosphate deposition disease in the temporomandibular joint: report of two case. J Oral Maxillofac Surg 57: 1357-1363 1999.
28) O’Duffy, J D.: Pseudogout syndrome in hospital patients. JAMA 226: 42-44 1973.
21) 小澤幹夫, 青山伸二郎, 他：顎関節に発生した結節性偽痛風の1例. 日口外誌 52: 358-361 2006.
24) 宮本亮三, 藤井雅敏, 他：顎関節に生じたピロリン酸カルシウム結晶沈着症（偽痛風）の1例. 口科誌 57: 58-63 2008.
6) 石川浩一郎：偽痛風〔ピロリン酸カルシウム（CPPD）結晶沈着症〕. Medicina 35: 1780-1783 1998.
3) 中村　正, 山村雄治, 他：図説：膠原病リウマチ疾患（23）偽痛風. Med Postgrad 40: 7-12 2002.
11) Kamatani, Y., Tagawa, T., et al.: Destructive calcium pyrophosphate dehydrate temporo-mandibular arthropathy（pseudogout）. Int J Oral Maxillofac Surg 16: 749-752 1987.
19) 中川洋一, 下田信司, 他：顎関節結晶沈着症の診断とそのプロセス. 日顎誌 13: 282-290 2001.
26) 青山広道, 栗原良暁, 他：当院における偽痛風症例の臨床像の検討. 日関外誌 24: 127-131 2005.
25) Mikami, T., Takeda, Y., et al.: Tumoral calcium pyrophosphate dehydrate crystal deposition disease of the temporomandibular joint: Identification on crystallography. Pathol Int 58: 723-729 2008.
27) 益田郁子：ピロリン酸カルシウム結晶沈着症のupdate. リウマチ科 43: 542-549 2010.
1) McCarty, D.J., Kohn, N.K., et al.: The significance of calcium pyrophosphate crystal in the synovial fluid of arthritic patient: The“pseudogoust syndrome”. Clinical aspect. Ann Intern Med 56: 711-737 1962.
8) 石田　剛, 今村哲也：結晶沈着症と関連疾患. 病理と臨床 3: 307-319 2001.
15) 服部　宇, 水谷英樹, 他：顎関節上関節腔洗浄療法にて症状緩解したピロリン酸カルシウム結晶症の1例. 日口外誌 46: 490-492 2000.
20) Osano, H., Matsumoto, K., et al.: Calcium pyrophosphate dehydrate arthropathy with condylar destruction of the temporomandibular joint. J Oral Sci 45: 223-226 2003.
13) Onodera, K., Ichinohasama, R., et al.: A case of the calcium pyrophosphate dehydrate （CPPD） deposition disease without condylar destruction of the temporomandibular joint. Pathol Int 47: 622-626 1997.
4) 中島亜矢子, 山中　寿：痛風関節炎と類縁疾患との鑑別診断. 偽痛風−ピロリン酸カルシウム結晶沈着症−. 日臨 61: 413-418 2003.
14) 青山　繁, 木野孔司, 他：顎関節のピロリン酸カルシウム結晶沈着症（偽痛風）を伴う滑膜軟骨腫症の1例. 日口外誌 45: 387-389 1999.
23) 足立忠文, 山崎勝巳, 他：顎関節におけるピロリン酸カルシウム結晶沈着症の1例. 日口外誌 54: 458-462 2008.
7) Moskowitz, R.W. and Katz, D.: Chondrocalcinosis and chondrocalcynovitis（pseudogout syndrome）; Analysis of twenty-four cases. Am J Med. 43: 322, 1967.
9) 益田郁子：偽痛風（CPPD 結晶沈着症）とその治療. 綜合臨床 59: 81-286 2010.
12) Kurihara, K., Mizuseki, K., et al.: Tophaceous pseudogout of the temporomandibular joint: report of a case. Pathol Int 47: 578-580 1997.
2) 大野岩男：痛風と偽痛風. 日本医事新報 4493: 65-68 2010.
22) 森川美雪, 寒河江登志朗, 他：顎関節の偽痛風にみられた結晶物分析の一考察. 日大口腔科学 33: 42-45 2007.
17) Nakagawa, Y., Ishii, H., et al.: Pseudogout of the temporomandibular joint. A case report. Int J Oral Maxillofac Surg 28: 26-28 1999.
References_xml – reference: 26) 青山広道, 栗原良暁, 他：当院における偽痛風症例の臨床像の検討. 日関外誌 24: 127-131 2005.
– reference: 4) 中島亜矢子, 山中　寿：痛風関節炎と類縁疾患との鑑別診断. 偽痛風−ピロリン酸カルシウム結晶沈着症−. 日臨 61: 413-418 2003.
– reference: 17) Nakagawa, Y., Ishii, H., et al.: Pseudogout of the temporomandibular joint. A case report. Int J Oral Maxillofac Surg 28: 26-28 1999.
– reference: 23) 足立忠文, 山崎勝巳, 他：顎関節におけるピロリン酸カルシウム結晶沈着症の1例. 日口外誌 54: 458-462 2008.
– reference: 6) 石川浩一郎：偽痛風〔ピロリン酸カルシウム（CPPD）結晶沈着症〕. Medicina 35: 1780-1783 1998.
– reference: 21) 小澤幹夫, 青山伸二郎, 他：顎関節に発生した結節性偽痛風の1例. 日口外誌 52: 358-361 2006.
– reference: 24) 宮本亮三, 藤井雅敏, 他：顎関節に生じたピロリン酸カルシウム結晶沈着症（偽痛風）の1例. 口科誌 57: 58-63 2008.
– reference: 10) Mogi, G., Kuga, M., et al.: Chondrocalicinosis of the temporomandibular joint. Calcium pyrophosphate dehydrate deposition disease. Arch Otolaryngol Head Neck Surg 113: 1117-1119 1987.
– reference: 22) 森川美雪, 寒河江登志朗, 他：顎関節の偽痛風にみられた結晶物分析の一考察. 日大口腔科学 33: 42-45 2007.
– reference: 14) 青山　繁, 木野孔司, 他：顎関節のピロリン酸カルシウム結晶沈着症（偽痛風）を伴う滑膜軟骨腫症の1例. 日口外誌 45: 387-389 1999.
– reference: 7) Moskowitz, R.W. and Katz, D.: Chondrocalcinosis and chondrocalcynovitis（pseudogout syndrome）; Analysis of twenty-four cases. Am J Med. 43: 322, 1967.
– reference: 19) 中川洋一, 下田信司, 他：顎関節結晶沈着症の診断とそのプロセス. 日顎誌 13: 282-290 2001.
– reference: 28) O’Duffy, J D.: Pseudogout syndrome in hospital patients. JAMA 226: 42-44 1973.
– reference: 1) McCarty, D.J., Kohn, N.K., et al.: The significance of calcium pyrophosphate crystal in the synovial fluid of arthritic patient: The“pseudogoust syndrome”. Clinical aspect. Ann Intern Med 56: 711-737 1962.
– reference: 2) 大野岩男：痛風と偽痛風. 日本医事新報 4493: 65-68 2010.
– reference: 13) Onodera, K., Ichinohasama, R., et al.: A case of the calcium pyrophosphate dehydrate （CPPD） deposition disease without condylar destruction of the temporomandibular joint. Pathol Int 47: 622-626 1997.
– reference: 16) Nakagawa, Y., Ishibashi, K., et al.: Calcium pyrophosphate deposition disease in the temporomandibular joint: report of two case. J Oral Maxillofac Surg 57: 1357-1363 1999.
– reference: 3) 中村　正, 山村雄治, 他：図説：膠原病リウマチ疾患（23）偽痛風. Med Postgrad 40: 7-12 2002.
– reference: 8) 石田　剛, 今村哲也：結晶沈着症と関連疾患. 病理と臨床 3: 307-319 2001.
– reference: 25) Mikami, T., Takeda, Y., et al.: Tumoral calcium pyrophosphate dehydrate crystal deposition disease of the temporomandibular joint: Identification on crystallography. Pathol Int 58: 723-729 2008.
– reference: 12) Kurihara, K., Mizuseki, K., et al.: Tophaceous pseudogout of the temporomandibular joint: report of a case. Pathol Int 47: 578-580 1997.
– reference: 18) Matsuo, A., Uchida, M., et al.: A case of pseudogout the temporomandibular joint. Jpn J Oral Diag/Oral Med 14: 253-258 2001.
– reference: 5) 久我芳昭：CPPD 結晶. リウマチ科 27: 90-96 2002.
– reference: 15) 服部　宇, 水谷英樹, 他：顎関節上関節腔洗浄療法にて症状緩解したピロリン酸カルシウム結晶症の1例. 日口外誌 46: 490-492 2000.
– reference: 9) 益田郁子：偽痛風（CPPD 結晶沈着症）とその治療. 綜合臨床 59: 81-286 2010.
– reference: 20) Osano, H., Matsumoto, K., et al.: Calcium pyrophosphate dehydrate arthropathy with condylar destruction of the temporomandibular joint. J Oral Sci 45: 223-226 2003.
– reference: 11) Kamatani, Y., Tagawa, T., et al.: Destructive calcium pyrophosphate dehydrate temporo-mandibular arthropathy（pseudogout）. Int J Oral Maxillofac Surg 16: 749-752 1987.
– reference: 27) 益田郁子：ピロリン酸カルシウム結晶沈着症のupdate. リウマチ科 43: 542-549 2010.
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Snippet Pseudogout is a disease caused by calcium pyrophosphate dehydrate （CPPD） deposition in a joint and occurs most often in the knee joint. Eighteen reports of...
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SubjectTerms ピロリン酸カルシウム結晶
偽痛風
顎関節
Title 顎関節下関節腔に生じた偽痛風の1例
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