Predominance of Calcium Pyrophosphate Crystals in Synovial Fluid Samples of Patients at a Large Tertiary Center
Diagnostics,
Год журнала:
2025,
Номер
15(7), С. 907 - 907
Опубликована: Апрель 1, 2025
Background:
Crystal
arthritides
represent
the
most
common
inflammatory
rheumatologic
condition.
While
prevalence
of
gouty
arthritis
by
monosodium
urate
(MSU)
is
well
established,
prevalences
calciumpyrophosphat
(CPP)
and
basic
calcium
pyrophosphate
(ARP)
are
less
clear.
We
herein
sought
to
assess
characteristics
crystal
at
our
institution,
biggest
tertiary
center
in
Switzerland.
Methods:
A
total
5036
synovial
fluid
(SF)
samples
were
analyzed
with
regard
positivity
as
joint,
age,
sex
distribution
affected
patients.
furthermore
compared
non-inflammatory
SF
for
yields
their
Polymorphonuclear
(PMN)
fractions.
Results:
About
half
all
derived
from
knee
joints,
a
male/female
ratio
up
10.1:1
among
MSU-positive,
clear
shift
towards
elder
patients
CPP-arthritis
was
seen.
These
findings
line
previous
studies
suggest
good
comparability
cohort.
Of
note,
21.9%
CPP
positive,
whereas
15.3%
9.5%
positive
MSU
ARP/alizarin-red
respectively.
Importantly,
crystals
predominant
(58.9%)
(65.7%)
samples.
By
contrast,
significantly
more
often
associated
synovitis
(p
<
0.001).
Interestingly,
higher
PMN
fractions
found
MSU-positive
0.01),
similar
trend
seen
CPP-positive
Conclusions:
represented
frequent
form
center.
Higher
subclinical
inflammation
provide
further
arguments
earlier
anti-inflammatory
uric
acid-lowering
therapies
deposits.
Язык: Английский
Calcium Pyrophosphate Crystal Formation and Deposition: Where Do we Stand and What Does the Future hold?
Current Rheumatology Reports,
Год журнала:
2024,
Номер
26(10), С. 354 - 365
Опубликована: Авг. 1, 2024
Although
calcium
pyrophosphate
deposition
(CPPD)
has
been
known
since
the
1960s,
our
understanding
of
its
pathogenesis
remains
rudimentary.
This
review
aims
to
illustrate
mechanisms
underlying
(CPP)
crystal
formation
and
explore
future
directions
in
research.
By
examining
various
perspectives,
from
basic
research
clinical
imaging
assessments,
as
well
new
emerging
methodologies,
we
can
establish
a
starting
point
for
deeper
CPPD
pathogenesis.
Язык: Английский
An objective diagnosis of gout and calcium pyrophosphate deposition disease with machine learning of Raman spectra acquired in a point-of-care setting
Lara D. Veeken,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 2, 2024
Raman
spectroscopy
is
proposed
as
a
next-generation
method
for
the
identification
of
monosodium
urate
(MSU)
and
calcium
pyrophosphate
(CPP)
crystals
in
synovial
fluid.
As
interpretation
spectra
requires
specific
expertise,
not
directly
applicable
clinicians.
We
developed
an
approach
to
demonstrate
that
process
can
be
automated
with
use
machine
learning
techniques.
The
system
tested
point-of-care-setting
at
our
outpatient
rheumatology
department.
Язык: Английский
Synovial fluid analysis with compensated polarization light microscopy: a physics approach to quantitative understanding of birefringence, polarization, and Maltese crosses
Clinical Rheumatology,
Год журнала:
2024,
Номер
43(12), С. 3597 - 3602
Опубликована: Окт. 16, 2024
Язык: Английский
Raman Spectroscopy Reveals Microparticles in Synovial Fluids of Patients With Suspected Implant‐Related Complications
Tom Niessink,
Jorrit W. A. Schoenmakers,
Matthijs Janssen
и другие.
Journal of Raman Spectroscopy,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 19, 2024
ABSTRACT
Prosthetic
implant‐associated
inflammation
and
failure
can
be
caused
by
bacterial
infections
mechanical
wear
of
the
prosthesis.
Currently,
there
is
no
diagnostic
modality
that
allows
simultaneous
identification
both
causes
implant
failure.
Here,
we
present
a
proof‐of‐principle
study
to
assess
whether
Raman
spectroscopy
applied
diagnose
Synovial
fluids
from
10
patients
with
clinical
suspicion
implant‐related
complications
were
previously
collected
cultured
determine
presence
bacteria.
The
microparticles
in
these
synovial
was
assessed
verified
scanning
electron
microscopy
combined
energy‐dispersive
X‐ray
(SEM‐EDX).
For
control,
possibility
detect
vitro
‐
Staphylococcus
aureus
investigated.
revealed
all
fluid
samples
contained
microparticles:
eight
microplastics
(polyethylene,
polypropylene,
polystyrene),
nine
titanium
dioxide
nanoparticles
(anatase
rutile)
as
SEM‐EDX.
There
clear
difference
microparticle
content
or
without
signals
relating
individual
bacteria
clusters
detectable
cultures
S.
,
but
it
not
possible
demonstrate
spectroscopy.
potential
tool
for
characterizing
complications.
This
relevance
cause
joint
inflammation.
feasible,
further
research
needed
before
implementation.
Язык: Английский