000			02502nam a22004217a 4500
008			230411s20232023 xxu||||| |||| 00| 0 eng d
022			_a1930-0433
024			_a10.1016/j.radcr.2022.10.057 [doi]
024			_aPMC9898284 [pmc]
024			_aS1930-0433(22)00935-9 [pii]
040			_aOvid MEDLINE(R)
099			_a36747909
245			_aPseudogout of the lumbar spine.
251			_aRadiology Case Reports. 18(4):1490-1493, 2023 Apr.
252			_aRadiol Case Rep. 18(4):1490-1493, 2023 Apr.
253			_aRadiology case reports
260			_c2023
260			_fFY2023
260			_p2023 Apr
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_d2023-04-11
520			_aCalcium pyrophosphate deposition involves deposition of calcium pyrophosphate dihydrate crystals in various joints throughout the body. The term "pseudogout" refers to an acute attack of calcium pyrophosphate crystal-induced arthritis. Though clinical presentation and joint involvement vary, involvement of the lumbar spine is rare. We present the case of a 61-year-old male who presented with 3 days of worsening lower back pain. He had elevated inflammatory markers, leukocytosis, and spinal tenderness on exam. Magnetic resonance imaging of the lumbar spine showed likely L4-L5 osteomyelitis; however, biopsy of the disk space revealed extensive calcium pyrophosphate crystal deposition. The patient was treated with prednisone taper with alleviation of symptoms. Though pseudogout of the spine is rare, our report supports literature urging clinicians to consider pseudogout when assessing elderly patients with back pain for prompt and appropriate treatment. Copyright © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
546			_aEnglish
651			_aMedStar Harbor Hospital
651			_aMedStar Union Memorial Hospital
656			_aHospitalist
656			_aInternal Medicine Residency
657			_aCase Reports
700			_aChehab, Mohamad _bMUMH _cInternal Medicine Residency
700			_aCherukuri, Sai Phani Sree _bMUMH _cInternal Medicine Residency _dMBBS _eResident PGY 1
700			_aGupta, Sneha R _bMUMH _cInternal Medicine Residency
700			_aHaas, Christopher _bMUMH
700			_aPaudel, Kalyan _bMHH
790			_aGupta SR, Cherukuri SPS, Chehab M, Paudel K, Haas C
856			_uhttps://dx.doi.org/10.1016/j.radcr.2022.10.057 _zhttps://dx.doi.org/10.1016/j.radcr.2022.10.057
942			_cART _dArticle
999			_c11566 _d11566