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CPPD Deposition Disease.

Last updated Tuesday, December 21, 2004

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Symptoms

What are symptoms of cppd deposition disease?

Whatever the initial cause, CPPD crystals can cause a variety of different problems.

The most dramatic symptoms occur when a number of crystals break loose from their location in the cartilage, meniscus, or synovial membrane and move into the joint space. This movement of the crystals into the joint can cause sudden and severe pain in the joint, along with redness, warmth, and swelling (inflammation). Inflammation is one way the body can react to CPPD crystals. It sees them as "invaders" and sends disease-fighting white blood cells to attack them.

This joint pain may last for days or weeks. It resembles a gout attack (hence the old term "pseudogout"). It can occur in any joint, but commonly occurs in the knee or wrist. A low-grade fever may accompany this form of the disease. In many people the symptoms go away, even without treatment, only to recur at some later time.

More often, however, CPPD crystals create less severe, but longer lasting problems. These include stiffness, swelling, heat, and pain that affect many joints. This often happens in the knees, but can also happen in the wrists, knuckles, hips, shoulders, elbows, ankles, or toes. The pain is not sudden; instead, it develops over a long period of time and can last many weeks or months. The pain may be worse the more you move your joints.

Over time, either form of the disease may damage the cartilage and/or the meniscus of the knee. When this happens, the bones rub together and cause a grating sensation and pain when the joint is used.

You may have only one of these patterns or you may have both. With either pattern, you may have periods when your symptoms are worse than at other times. You also may have completely symptom-free periods.

Because CPPD crystal deposition disease often takes a long time to develop, some people have no symptoms at all even when joint damage is already slowly occurring. Evidence of the CPPD crystals often can be seen on X-rays before symptoms are present.

What conditions have similar sympoms or might be confused with cppd deposition disease?

The symptoms of CPPD crystal deposition disease are similar to symptoms of other diseases, such as:

  • Gout causes sudden attacks of joint pain due to another type of crystal. This is most common at the base of the big toe, but can occur anywhere.
  • Rheumatoid arthritis causes chronic swelling, heat, morning stiffness, and pain in the joints and can also involve other tissues. The hands and fingers are involved in most cases.
  • Osteoarthritis causes joint pain and swelling due to damage to the cartilage in the joint.

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