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Chondrocalcinosis of the Temporomandibular JointA Parotid Pseudotumor
Jan Zemplenyi, MD;
Thomas C. Calcaterra, MD
Arch Otolaryngol. 1985;111(6):403-405.
Abstract
• Chondrocalcinosis, ie, calcium pyrophosphate dehydrate (CPPD) crystal deposition disease, has a spectrum of clinical manifestations ranging from an absence of symptoms to a severely destructive arthropathy. We recently treated a patient with CPPD deposition adjacent to the temporomandibular joint, which simulated a parotid tumor. The CPPD crystals are weakly positively birefringent under a polarizing microscope. Most frequently they are found roentgenographically as asymptomatic deposits in fibrocartilaginous structures, especially the knee meniscus. A less frequent manifestation is "pseudogout" acute arthritis. Rarely, joint destruction is found.
(Arch Otolaryngol 1985;111:403-405)
Author Affiliations
From the Division of Head and Neck Surgery, UCLA Medical Center.
Footnotes
Accepted for publication Jan 23, 1985.
Reprint requests to Division of Head and Neck Surgery, UCLA Medical Center, 10833 Le Conte Ave, Los Angeles, CA 90024 (Dr Calcaterra).
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