A Case of Acute Calcific Periarthritis
The present case has been reported in the journal Annals of Emergency Medicine.

A 57-year-old man presented to the emergency department with 1 week of left fifth metacarpophalangeal joint swelling and pain that worsened with movement. The patient had tried placing ice on the joint, without relief. He worked as a mechanic in environmental services and thus worked with his hands, but he denied recent direct trauma to the area.

On examination, the patient had edema over the ulnar aspect of his hand and tenderness to palpation over the fifth metacarpophalangeal joint, but no overlying erythema, joint swelling, or external signs of trauma. Hand radiographs were obtained.

Hand radiographs revealed faint calcifications at the base of the fifth metacarpophalangeal joint, representing calcific periarthritis.

Learning Points:-
• Acute calcific periarthritis is self-limiting and managed conservatively with nonsteroidal anti-inflammatory drugs and splinting

• Patients typically experience improvement of symptoms within 4 to 7 days, and the mineralization classically resolves within 2 to 3 weeks.

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