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[Hydroxyapatite rheumatism (multiple tendon calcification disease). I.- Clinical study].

B Amor, A Cherot, F Delbarre

    Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
    |May 1, 1977
    PubMed
    Summary

    Hydroxyapatite rheumatism, also known as multiple tendon calcifications disease, affects numerous joints, often presenting as acute arthritis. Many patients experience chronic pain despite treatment.

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    Area of Science:

    • Rheumatology
    • Orthopedics
    • Calcium Metabolism Disorders

    Background:

    • Hydroxyapatite rheumatism (multiple tendon calcifications disease) is a condition characterized by calcifications in tendons.
    • The clinical presentation can mimic other arthritic conditions, complicating diagnosis.

    Purpose of the Study:

    • To investigate the clinical characteristics, joint involvement, and treatment outcomes of hydroxyapatite rheumatism.
    • To understand the varied manifestations of this disease.

    Main Methods:

    • Retrospective study of 45 patients diagnosed with hydroxyapatite rheumatism.
    • Analysis of patient demographics, affected joints (clinical vs. radiological), and disease presentation.
    • Follow-up assessment of treatment outcomes in a subset of patients.

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    Main Results:

    • The study included 36 women and 9 men, aged 15-61 years.
    • Commonly affected joints included the shoulder, hip, and spine, with significant radiological calcifications.
    • Disease presentations varied, including acute gout-like arthritis, polyarthritis, and rheumatoid arthritis-like symptoms.
    • Of 32 followed patients, 4 were cured, 9 improved with residual pain, and 18 showed no improvement.

    Conclusions:

    • Hydroxyapatite rheumatism exhibits diverse clinical and radiological features affecting multiple joints.
    • Treatment outcomes are variable, with a significant proportion of patients experiencing chronic pain.
    • Family history was noted in a small subset, suggesting potential genetic factors.