Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

CPDD Comorbidities Examined

Arthritis Care Res; ePub 2016 Nov 29; Balderrama, et al

In a recent study, researchers confirmed known calcium pyrophosphate deposition disease (CPDD) associations with medical comorbidities; provided support for positive associations with rheumatoid arthritis (RA), hypomagnesemia, and osteoporosis; and suggested potential novel negative associations with commonly used medications. They identified 25,157 VA patients with CPDD yielding a point prevalence of 5.2 per 1,000; the average age was 68.1 ±12.3 years and 95% were male. They found:

  • The strongest positive associations with CPDD were hyperparathyroidism, gout, osteoarthritis, RA, and hemochromatosis.
  • Positive associations were also seen with higher odds for osteoporosis, hypomagnesemia, chronic kidney disease, and calcium supplementation.
  • Negative associations were seen with proton pump inhibitors and loop diuretics.

Citation:

Baldarrama CK, Rosenthal AK, Lans D, Singh JA, Bartels CM. Calcium pyrophosphate deposition disease and associated medical co-morbidities: A national cross-sectional study of US veterans. [Published online ahead of print November 29, 2016]. Arthritis Care Res. doi:10.1002/acr.23160.