Calcium hydroxyapatite deposition disease: Imaging features and presentations mimicking other pathologies

Eur J Radiol. 2019 Nov:120:108653. doi: 10.1016/j.ejrad.2019.108653. Epub 2019 Sep 8.

Abstract

Objective: Calcium hydroxyapatite depositional disease (HADD) is usually asymptomatic and self-limiting; however, when there is an associated inflammatory process or HADD occurs in an unusual location, it may mimic trauma, infection, or neoplasm. The purpose of this article is to review the imaging features of HADD and how to distinguish it from more worrisome entities that can have similar appearances.

Conclusion: An understanding of the presentations of HADD is important to allow early and confident diagnosis. In particular, familiarity with presentations that resemble more ominous pathologies is essential to avoid costly and time-consuming workup or intervention.

Keywords: Calcium hydroxyapatite depositional disease; HADD; Infection; Neoplasm; Trauma.

Publication types

  • Review

MeSH terms

  • Adult
  • Bone Diseases / diagnosis*
  • Bone Diseases, Infectious / diagnosis
  • Bone Neoplasms / diagnosis
  • Calcinosis / diagnosis
  • Diagnosis, Differential
  • Durapatite*
  • Early Diagnosis
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed

Substances

  • Durapatite