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Crystal-induced arthritis in prosthetic joints: a systematic review of clinical features, diagnosis, management, and outcomes.
Sawada, Haruki; Dang, Jared; Saha, Bibek; Taylor, Luke; Nishimura, Yoshito; Kahili-Heede, Melissa; Nakasone, Cass; Lim, Sian Yik.
Afiliación
  • Sawada H; Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
  • Dang J; Department of Medicine, Scripps Mercy Hospital San Diego, San Diego, CA, USA.
  • Saha B; Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
  • Taylor L; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
  • Nishimura Y; Department of General Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine, Okayama, Japan.
  • Kahili-Heede M; Division of Hematology and Oncology, Mayo Clinic, Rochester, MN, USA.
  • Nakasone C; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
  • Lim SY; Hawaii Pacific Health Medical Group, Hawaii Pacific Health, Honolulu, HI, USA.
BMC Rheumatol ; 8(1): 43, 2024 Sep 14.
Article en En | MEDLINE | ID: mdl-39277771
ABSTRACT

BACKGROUND:

To summarize clinical presentations, baseline characteristics, diagnosis, treatment, and treatment outcomes through a systematic review of cases of crystal-induced arthritis in prosthetic joints in the literature.

METHODS:

A systematic review of case reports and case series was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A literature search was performed through PubMed/MEDLINE, Google Scholar, Embase, Cumulative Index to Nursing & Allied Health, and Web of Science. We identified case reports/case series in English of adult patients presenting with crystal-induced arthritis (gout, calcium pyrophosphate deposition disease) in prosthetic joints. Articles that met the inclusion criteria were utilized for qualitative data synthesis.

RESULTS:

We found 44 cases of crystal-induced arthritis in prosthetic joints from 1984 to 2021. Crystal-induced arthritis in periprosthetic joints most frequently affects patients who had knee arthroplasty and most often presents as monoarticular arthritis that is usually acute in onset. However, several cases in the literature involved patients who had bilateral knee replacements and presented with a concurrent flare of gout or calcium pyrophosphate deposition disease in bilateral knees. Patients with crystal-induced arthritis in prosthetic joints show elevated white blood cell counts with neutrophil predominance and respond favorably to anti-inflammatory treatments, usually within one week. In many cases, crystal-induced arthritis was challenging to differentiate from prosthetic joint infection, with approximately one-third of patients undergoing surgical intervention and 35% receiving antibiotic treatment.

CONCLUSION:

Crystal-induced arthritis in prosthetic joints can mimic prosthetic joint infections and should always be considered in the differential diagnoses of joint pain in prosthetic joints. We present the first systematic review of crystal-induced arthritis in prosthetic joints to increase awareness of the diagnosis and proper management.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMC Rheumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMC Rheumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido