Rheumatoid arthritis

Co-occurrence of rheumatoid arthritis and calcium pyrophosphate deposition disease: A systematic literature review

Semin Arthritis RheumPublished Systematic literature review

Authors' conclusion

While the studies were small, RA, which is commonly seronegative, and CPPD can co-exist in the elderly.

Study context

Population
Patients with both rheumatoid arthritis (RA) and CPPD disease, studies published in English 1965–2026
Participants
404 patients24 studies
Outcome
Epidemiology and clinical characteristics of patients with both RA and CPPD
Methodological details12 cross-sectional studies, 2 case series, 10 case reports, Search from database inception to 31st January 2026 in EMBASE, MEDLINE, Scopus, PubMed, CINAHL and Cochrane
  • 12 cross-sectional studies, 2 case series, 10 case reports
  • Search from database inception to 31st January 2026 in EMBASE, MEDLINE, Scopus, PubMed, CINAHL and Cochrane

Main finding

As reported in the abstract

Aged over 60 years
397/404 (98.3%)
Seronegative for both rheumatoid factor (RF) and anti-citrullinated protein antibody (ACPA) (of 365 with serostatus data)
204/339 (60.2%)
Radiographic chondrocalcinosis
271/287 (94.4%)
Seronegative for both RF and ACPA among 271 with chondrocalcinosis
162 (59.8%)
MTX prescribed
75/205 (36.6%)
Prednisolone prescribed
64/205 (31.2%)
Colchicine prescribed
24/205 (11.7%)

Observational data: associations, not effects.

Original publication

Co-occurrence of rheumatoid arthritis and calcium pyrophosphate deposition disease: A systematic literature review. Semin Arthritis Rheum. Published 29 July 2026. doi:10.1016/j.semarthrit.2026.153047

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