Case of the Month: January, 2012, Page 3

Answer: D) Anti-inflammatory medications and supportive care.

Diagnosis: Calcific Tendonitis of the Longus Coli Muscle

General Features

  • Etiology: Deposition of hydroxyapatite (HADD) crystals in longuscolli muscle

Presentation

  • Most common signs/symptoms
    • Neck pain and stiffness
    • Odynophagia
    • Mild leukocytosis and fever
  • Clinical profile:
    • Patient with sudden onset of neck pain and stiffness

Demographics

  • Age: Middle-aged and older patients

Natural History &Prognosis

  • Resolves in 1-2 weeks

Treatment:

  • Nonsteroidalanti-inflammatory medications

References:    

  • Evan Wasserman, MD, Alan Richman, MD, NamikErdag, MD, and Rob Weiss, MD:  Acute CalcificPrevertebral Tendonitis of the LongusColli Muscle. Emedicine.com.
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