Woman with pain, swelling, and warmth in wrist

Diagnosis: The x-ray reveals calcium pyrophosphate deposition disease (CPDD) or “pseudogout” of the wrist (arrows).
Pseudogout is similar to acute gouty arthritis, but presents for the first time in later years. The pain of CPDD is also not as intense as acute gout. The condition is often by precipitated by illness, minor trauma or other stressors. A clinical diagnosis based on typical radiographic findings is sufficient in the urgent care setting, but joint aspiration is needed for confirmation. CPPD responds well to steroids, nonsteroidal anti-inflammatory drugs, or colchicine.
Case presented by Teleradiology Specialists (http://www.teleradiologyspecialists.com)