Gout & crystal arthritis

The Significance of Intracellular Versus Extracellular Calcium Pyrophosphate Crystals in Diagnosing Calcium Pyrophosphate Crystal Arthritis

J RheumatolPublished Retrospective cohort study

Authors' conclusion

The presence of intracellular CPP crystals is more strongly associated with acute/chronic CPP crystal arthritis than with extracellular CPP crystals alone.

Study context

Population
Patients with synovial fluid samples positive for CPP crystals, Waikato District Health Board
Participants
134 patients
Exposure
Intracellular vs extracellular CPP crystals in synovial fluid
  • Intracellularn = 108
  • Extracellularn = 26reference
Outcome
Proportion diagnosed with acute/chronic CPP crystal arthritis (synovial CPP crystals, objective joint inflammation, no alternative diagnosis)

Main finding

As reported in the abstract

Acute/chronic CPP crystal arthritis diagnosed

P < 0.001

Observational data: associations, not effects.

Further findings

Acute/chronic CPP crystal arthritis diagnosed, after exclusion of septic arthritis cases

P < 0.001

Original publication

The Significance of Intracellular Versus Extracellular Calcium Pyrophosphate Crystals in Diagnosing Calcium Pyrophosphate Crystal Arthritis. J Rheumatol. Published 1 October 2024. doi:10.3899/jrheum.2024-0469

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