Acute calcific periarthritis of the knee

Case contributed by Mohammed Sultan
Diagnosis almost certain

Presentation

Acute painful swelling of the medial aspect of the left knee. No trauma.

Patient Data

Age: 55 years
Gender: Female

Well defined, dense calcific focus adjacent to the medial femoral condyle.

Surrounding soft tissue swelling.

Case Discussion

Presented as acute focal pain but no trauma.

Very tender focally.

Gout is a differential but the dense calcification and the lack of periarticular erosions favor acute calcific periarthritis due to hydroxyapatite deposition disease.

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