Hi again!
I received several good responses! Thank you for supporting the notion about HADD, and actually the patient is better, not entirely, but much better.
From the responses:
I think the standard time course is days to 4 weeks….but it can last longer.How did her symptoms change in the 4 weeks?
I believe it’s HADD.
Agreed HADD. Can disappear within a week or two with NSAIDS.
One can see that the calcium deposits originally are well defined conglomerates while the upper row demonstrates dispersed calcifications. I believe this process can happen very fast, days to weeks (I think, I cannot deliver references) and is usually accompanied by an acute symptomatic attack of sharp pain cause by a tissue inflammation as a result of Ca release into the tissue.
In this case also took a few month
Hydroxyapatite pseudopodagra.I have it myself. First MTP. Gets brought on by stress, travel, dehydration. If I take a diclofenac as soon as it starts, I can stop it from happening. Else 3 days of intense pain.
The first time did X-rays, CT and MRI and then when the pain went, everything went away on the X-rays. Never bothered to image again.
Is there by any chance a history of renal failure/dialysis? Calcifications can come and go fairly quickly as the Ca-P product in the blood varies in those folks.
Thanks again, everyone!
Best regards
Roar
Hi friends
This is not FOMO – Fear of Missing Out, but
IHNEKTEM – I Hope Not Everyone Know This Except Me
A 47 year old female, standing in yard sale for two long days, presented 1 mo ago with the lower row of images: Calcifications along the distal part of the 5th metatarsal, and intense pain.
As I found no fracture I suggested chondromatosis or calcific peritendinits/HADD and suggested a follow up in 1 mo with both MRI and xray. MRI shows just edema in the area, and the upper row of xrays now show partly vanishing calcifications.
Is/was this calcific peritendinitis and how fast can it dissolve? I am not yet updated on how much discomfort is left in this area.
Best
Roar Pedersen
Norway
