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Calcium pyrophosphate

Calcium pyrophosphate is an inorganic compound with the chemical formula Ca₂P₂O₇, formed by the combination of calcium ions and the pyrophosphate anion (P₂O₇⁴⁻). It appears as a white, odorless crystalline powder with a density of 3.09 g/cm³ and a melting point of 1353 °C, and it is insoluble in water but dissolves in dilute acids such as hydrochloric and nitric acid.^[1] The dihydrate form, calcium pyrophosphate dihydrate (Ca₂P₂O₇·2H₂O), is the most biologically relevant variant, as its rhomboid-shaped crystals can deposit in joint tissues, triggering inflammation through immune activation. These deposits are the hallmark of calcium pyrophosphate deposition (CPPD) disease, a crystal arthropathy that manifests as acute pseudogout attacks, chronic arthritis resembling osteoarthritis or rheumatoid arthritis, or asymptomatic chondrocalcinosis.^[2] CPPD disease predominantly affects individuals over age 60, with radiographic chondrocalcinosis present in approximately 4% of the general population and increasing with age (up to 30–50% in those over 80 years); the point prevalence of diagnosed disease is about 5 per 1,000, often involving weight-bearing joints like the knees, wrists, and shoulders.^[2]^[3] Beyond its medical implications, calcium pyrophosphate has industrial applications, including use as a mild abrasive in toothpaste, and as a dietary supplement recognized as generally safe (GRAS) by the U.S. Food and Drug Administration for nutrient fortification in foods.^[4] Associated metabolic conditions, such as hyperparathyroidism, hemochromatosis, or hypomagnesemia, can predispose individuals to CPP crystal formation, though many cases occur idiopathically in the elderly.^[2]

Chemical overview

Formula and nomenclature

Calcium pyrophosphate is an inorganic compound with the chemical formula Ca_2P_2O_7 for its anhydrous form, while hydrated variants are denoted as Ca_2P_2O_7 \cdot nH_2O where n can be 0, 2, or 4, reflecting different degrees of water incorporation in the crystal lattice.^[5]^[6]^[7] The systematic IUPAC name for the compound is diphosphoric acid calcium salt (1:2), reflecting its composition as the calcium salt of pyrophosphoric acid, though it is more commonly referred to as calcium diphosphate or simply calcium pyrophosphate.^[8]^[5] It is frequently abbreviated as CPP in scientific literature, particularly when distinguishing it from other calcium phosphates such as hydroxyapatite (Ca_{10}(PO_4)_6(OH)_2), which features discrete orthophosphate (PO_4^{3-}) anions rather than the linked pyrophosphate (P_2O_7^{4-}) ion central to CPP's structure.^[8]^[5] The nomenclature of calcium pyrophosphate traces its historical origin to the "pyro" prefix, derived from the Greek word for fire, indicating its formation through the thermal dehydration of orthophosphoric acid (H_3PO_4) to yield pyrophosphoric acid (H_4P_2O_7), followed by neutralization with a calcium source.^[9]^[8] This etymology highlights its place among pyrophosphate salts, such as sodium pyrophosphate (Na_4P_2O_7), which similarly incorporate the P_2O_7^{4-} anion but with different cations influencing solubility and reactivity.^[8]

Physical appearance and basic characteristics

Calcium pyrophosphate is typically observed as a white, odorless crystalline powder.^[10]^[11] The molecular weight of its anhydrous form, Ca₂P₂O₇, is 254.10 g/mol, while its density is 3.09 g/cm³.^[1]^[12] The anhydrous form has a melting point of 1353 °C, though some hydrated variants may decompose before reaching this temperature.^[5]^[13] In terms of basic handling, calcium pyrophosphate is insoluble in water and most organic solvents, non-flammable, and generally recognized as safe (GRAS) in pure form for use as a nutrient or dietary supplement when handled according to good manufacturing practices.^[1]^[14]^[13]

Structure

Anhydrous form

The anhydrous form of calcium pyrophosphate, denoted as Ca₂P₂O₇, adopts a monoclinic crystal system with the space group P2₁/n.^[15] This structure is characteristic of the high-temperature α-polymorph, which features a three-dimensional network stabilized by the coordination of calcium ions to the pyrophosphate anions.^[16] The core structural unit is the pyrophosphate ion (P₂O₇⁴⁻), composed of two PO₄ tetrahedra connected via a bridging oxygen atom in a P-O-P linkage.^[17] Each phosphorus atom resides at the center of a tetrahedral coordination environment with terminal P-O bonds, while the bridge exhibits a typical P-O-P angle of approximately 130°, ranging from 123° to 134° depending on the local geometry.^[17] The Ca²⁺ cations occupy two inequivalent sites, each coordinated to eight oxygen atoms from multiple pyrophosphate units, forming distorted polyhedra that link the structure into a cohesive framework.^[16] X-ray diffraction analysis of the α-form reveals unit cell parameters of a = 12.66 Å, b = 8.542 Å, c = 5.315 Å, and β = 90.3°.^[18] These dimensions reflect the compact packing absent in hydrated variants, contributing to greater thermal stability in the anhydrous phase.^[19] Infrared (IR) and Raman spectroscopy provide confirmatory evidence of the P-O-P bridge, with characteristic asymmetric stretching vibrations appearing at approximately 900 cm⁻¹ (typically in the 850–920 cm⁻¹ range).^[20] These peaks arise from the bridging oxygen's motion and are diagnostic for the anhydrous pyrophosphate motif.^[21]

Hydrated forms

Calcium pyrophosphate forms several hydrated phases, with the dihydrate (Ca_2P_2O_7 \cdot 2H_2O) and tetrahydrate (Ca_2P_2O_7 \cdot 4H_2O) being the most commonly studied. The dihydrate exists in two polymorphs: monoclinic (m-CPPD, space group P2_1/n) and triclinic (t-CPPD). In m-CPPD, the structure features pyrophosphate anions oriented on the (010) plane with an inversion center, where calcium ions are coordinated to oxygen atoms from both pyrophosphate groups and water molecules, with Ca-O distances ranging from 2.257 Å to 2.648 Å. The t-CPPD polymorph exhibits a dichromate-like configuration of the pyrophosphate ions with a P-O-P angle of approximately 123.1°, contrasting with the 133.6° angle in m-CPPD. These structural differences arise from variations in the bridging water molecules and the arrangement of the tetrahedral PO_4 units within the pyrophosphate anion.^[22] The tetrahydrate, primarily known in its monoclinic β form (m-CPPT β, space group P2_1/c), displays a layered structure along the {100} plane, consisting of chains of calcium coordination polyhedra interconnected by pyrophosphate groups. Calcium atoms in this phase are seven-coordinated, forming polyhedra between capped octahedral and pentagonal bipyramidal geometries, with five oxygen atoms from pyrophosphate and three from water molecules; water acts as a bridge between Ca²⁺ ions, stabilizing the layers. Unit cell parameters for m-CPPT β are a = 12.288 Å, b = 7.512 Å, c = 10.776 Å, and \beta = 112.51^\circ. The P-O-P angle is about 134.1°, similar to that in m-CPPD. Less common hydrated forms include the monohydrate (Ca_2P_2O_7 \cdot H_2O, space group P2_1/n), which has a denser monoclinic structure with calcium in sixfold coordination, and rare phases like an ammonium-containing hexahydrate (Ca_5(NH_4)_2(P_2O_7)_3 \cdot 6H_2O), formed under specific excess pyrophosphate conditions.^[23] Dehydration behavior among these hydrates is stepwise and often reversible under controlled conditions. The tetrahydrate loses one loosely bound water molecule (forming only hydrogen bonds) below 353 K (80°C), followed by additional waters between 100–200°C to yield the monohydrate or dihydrate intermediates; full dehydration to the anhydrous β-Ca_2P_2O_7 occurs around 450°C. The dihydrate phases show greater thermal stability, with reversible water loss starting at approximately 100–150°C, transitioning back upon rehydration in moist environments. Phase diagrams derived from synthesis conditions indicate stability ranges influenced by pH and temperature: m-CPPD forms stably at pH 5.8 and 90°C, t-CPPD at pH 3.6 and 90°C, and m-CPPT β at pH 4.5 and 25°C, with amorphous hydrated phases (≈3.87 H₂O) persisting across broader ranges (pH 5.8–7.4, 25–90°C) before crystallizing into di- or tetrahydrates. These hydration levels affect solubility, with tetrahydrates generally more soluble than dihydrates under physiological conditions. Analytical identification of these hydrates relies on X-ray diffraction (XRD) patterns, which provide distinct signatures for differentiation. The tetrahydrate β form exhibits characteristic peaks in the 2θ range of 10–30°, including prominent reflections corresponding to its monoclinic lattice, while dihydrate polymorphs show unique sets: m-CPPD with broader features due to its unresolved fine structure, and t-CPPD with sharp triclinic peaks. The monohydrate displays a more compact pattern reflective of its higher density (2.60 Mg/m³). Synchrotron XRD and neutron diffraction are often employed for precise refinement, enabling distinction from anhydrous forms or amorphous precursors.^[23]^[22]

Synthesis and preparation

Laboratory methods

One common laboratory method for synthesizing calcium pyrophosphate involves a precipitation reaction between a calcium salt, such as calcium nitrate (Ca(NO₃)₂), and a pyrophosphate salt, such as potassium pyrophosphate (K₄P₂O₇), in aqueous solution at stoichiometric ratios. The reaction proceeds as 2 Ca²⁺ + P₂O₇⁴⁻ → Ca₂P₂O₇↓, forming a white precipitate of the hydrated form.^[24] To perform the synthesis, solutions are prepared to achieve [Ca²⁺] = 0.15 mol/L and [P₂O₇⁴⁻] = 0.075 mol/L in a buffered medium at pH 3.6–5.8 and room temperature to 90 °C, followed by stirring for 45 minutes. The resulting precipitate is then filtered, washed with deionized water to remove soluble byproducts, and dried at 60 °C. This method yields hydrated calcium pyrophosphate phases, such as the dihydrate (Ca₂P₂O₇·2H₂O), with high purity confirmed by X-ray diffraction. Further purification can be achieved via recrystallization from dilute acid solutions to eliminate impurities. Lab-scale equipment such as magnetic stirrers ensures uniform mixing, while pH meters are used to control the reaction environment for phase selectivity.^[24] An alternative acid-base method entails the neutralization of pyrophosphoric acid (H₄P₂O₇) with calcium hydroxide (Ca(OH)₂) in aqueous medium, governed by the equation H₄P₂O₇ + 2 Ca(OH)₂ → Ca₂P₂O₇ + 4 H₂O. The procedure involves slowly adding a suspension of Ca(OH)₂ to a solution of H₄P₂O₇ while stirring to control the exothermic reaction and maintain a neutral pH, followed by filtration of the precipitate and drying at low temperature (e.g., 37–60 °C). Yields are generally high, with similar purification via recrystallization from dilute acid to enhance crystallinity and remove residual acids.^[25] Safety considerations are critical, particularly when handling pyrophosphoric acid, which is highly corrosive and can cause severe skin burns and eye damage upon contact. Protective gear including gloves, goggles, and lab coats is essential, along with proper ventilation; spills should be neutralized with a base before cleanup. Standard lab equipment like stirrers and pH meters facilitates safe control of the reaction conditions. These methods are suited for small-scale production, differing from larger industrial processes that prioritize cost efficiency.

Industrial production

Calcium pyrophosphate is primarily produced on an industrial scale through the calcination of calcium hydrogen phosphate (CaHPO₄), typically the dihydrate form (CaHPO₄·2H₂O), at temperatures ranging from 500–1000°C. This dehydration process converts the orthophosphate to the pyrophosphate via the reaction 2CaHPO₄ → Ca₂P₂O₇ + H₂O, yielding the anhydrous form in a continuous or batch furnace setup optimized for high throughput.^[26]^[27] The method leverages readily available phosphate feedstocks and is energy-efficient for large-scale operations, with heat recovery systems in modern facilities enhancing overall efficiency.^[28] Alternative production routes include the reaction of phosphoric acid with lime (CaO) or calcium hydroxide in rotary kilns, followed by thermal dehydration to form the pyrophosphate. This approach allows for continuous processing and integration with existing phosphate fertilizer production lines, where byproducts like wet-process phosphoric acid can be utilized.^[29] Additionally, continuous precipitation methods from fertilizer industry effluents, involving controlled addition of calcium sources to phosphate streams, provide a sustainable pathway, though these are less common for high-purity grades.^[30] Production is driven by demand in dental applications, with key manufacturers including Lianyungang Yunbo Chemical in China.^[31] Quality control emphasizes particle size distribution in the 1–10 μm range for optimal abrasiveness and flowability, alongside standardization of hydrate content through spectroscopic and sieving analyses to ensure consistency across batches.^[28]^[26]

Properties

Solubility and stability

Calcium pyrophosphate demonstrates very low solubility in water, with values reported around 38–60 μM in neutral buffer solutions at physiological temperatures (pH 7.4, 37°C), equivalent to approximately 0.001 g per 100 mL. This limited dissolution arises from the strong ionic bonding between calcium ions and the pyrophosphate anion (P₂O₇⁴⁻), resulting in a highly stable precipitate under aqueous conditions. Solubility increases modestly in acidic environments, as protonation of the pyrophosphate ion (e.g., to H₂P₂O₇²⁻) diminishes its coordination with Ca²⁺, facilitating greater ion release; for instance, measurements show a near-linear rise below pH 7. The compound remains chemically stable at neutral pH, where it resists rapid degradation and maintains equilibrium solubility without significant alteration. In strong acidic conditions, however, calcium pyrophosphate undergoes slow hydrolysis of the P–O–P bond in the pyrophosphate moiety, yielding orthophosphate ions (HPO₄²⁻) via the reaction P₂O₇⁴⁻ + H₂O → 2 HPO₄²⁻, though this process is gradual and typically requires elevated temperatures or prolonged exposure for completion. Environmentally, calcium pyrophosphate exhibits resistance to oxidation, showing no notable reactivity with atmospheric oxygen or common oxidants under ambient conditions, which contributes to its durability in various chemical settings. For optimal long-term storage, it should be maintained in dry environments to avoid unintended conversion between anhydrous and hydrated phases, as exposure to moisture can promote hydration without affecting overall chemical integrity.^[8]

Thermal and mechanical properties

Calcium pyrophosphate hydrates undergo thermal decomposition primarily through stepwise dehydration upon heating. For the dihydrate forms, thermogravimetric analysis reveals weight losses corresponding to the release of approximately two water molecules between 30 and 400 °C, leading to the anhydrous β-Ca₂P₂O₇ phase.^[24] These dehydration processes are accompanied by endothermic peaks in differential thermal analysis (DTA), observed at 315 °C and 330 °C for the triclinic dihydrate (t-CPPD) and at 300 °C and 305 °C for the monoclinic dihydrate (m-CPPD).^[24] The anhydrous form of calcium pyrophosphate demonstrates high thermal stability, with polymorphic phase transitions occurring at elevated temperatures. Heating β-Ca₂P₂O₇ to 1275 °C for several hours, followed by quenching, yields the α-Ca₂P₂O₇ polymorph.^[19] Mechanically, calcium pyrophosphate exhibits properties that support its use as an abrasive material. Its fracture toughness further enhances durability in applications like dentifrice formulations, where cryptocrystalline variants provide controlled polishing action.^[32]

Biological and medical significance

Role in calcium pyrophosphate deposition disease (CPPD)

Calcium pyrophosphate deposition disease (CPPD), also known as pseudogout or chondrocalcinosis, is a crystal-induced arthropathy characterized by the deposition of calcium pyrophosphate dihydrate (CPPD) crystals in articular cartilage, synovium, and periarticular tissues, leading to a spectrum of clinical manifestations from asymptomatic chondrocalcinosis to acute inflammatory arthritis or chronic arthropathy.^[2] The disease primarily affects individuals over the age of 60, with radiographic prevalence increasing to approximately 4% in those aged 65 and older, and up to 50% in individuals over 80.^[2]^[33] The crystals involved in CPPD are rhomboid or rod-shaped calcium pyrophosphate dihydrate (CPPD) crystals, primarily in monoclinic and triclinic polymorphs, with typical dimensions ranging from 1 to 20 μm in length.^[2] These crystals exhibit weak positive birefringence when examined under polarized light microscopy, appearing blue when parallel to the compensator and yellow when perpendicular, which aids in their identification in synovial fluid analysis.^[2]^[33] Crystal deposition occurs due to an imbalance in pyrophosphate metabolism, where elevated extracellular pyrophosphate levels, often linked to chondrocyte dysfunction, promote supersaturation and nucleation in joint tissues.^[34] Risk factors for CPPD include advanced age, genetic predispositions such as mutations in the ANKH gene that enhance pyrophosphate transport, leading to elevated extracellular levels, and associated metabolic disorders like hyperparathyroidism, hemochromatosis, and hypomagnesemia.^[2]^[35]^[36] Familial forms are rare but can present earlier in life, highlighting the role of inherited defects in inorganic pyrophosphatase activity or pyrophosphate generation.^[33] In terms of pathophysiology, CPPD crystals act as danger signals that activate the NLRP3 inflammasome in synovial cells and neutrophils, resulting in the cleavage and release of interleukin-1β (IL-1β), which drives the acute inflammatory response and manifests as sudden, painful arthritis attacks often mimicking gout.^[2]^[35] Chronic CPPD arthropathy, by contrast, involves persistent low-grade inflammation and structural joint damage, clinically resembling osteoarthritis with features like joint space narrowing and osteophytes.^[33] This crystal-mediated inflammation underscores the disease's classification as a microcrystalline arthropathy, distinct from infectious or autoimmune arthritides.^[34]

Diagnosis, treatment, and recent developments

Diagnosis of calcium pyrophosphate deposition disease (CPPD) primarily relies on synovial fluid analysis using compensated polarized light microscopy (CPLM), which identifies characteristic rhomboid-shaped, weakly positively birefringent calcium pyrophosphate (CPP) crystals in the synovial fluid of affected joints.^[2] The 2023 American College of Rheumatology (ACR)/European Alliance of Associations for Rheumatology (EULAR) classification criteria provide a standardized scoring system (≥56 points) for CPPD diagnosis in research settings, integrating clinical features, imaging, and synovial fluid analysis.^[33] Imaging modalities, such as plain X-rays, play a supportive role by detecting chondrocalcinosis, characterized by linear or punctate calcifications in fibrocartilage and hyaline cartilage, particularly in the knees, wrists, and pubic symphysis.^[37] While ultrasound and dual-energy computed tomography (DECT) are emerging for non-invasive detection of crystal deposits, CPLM remains the gold standard for definitive diagnosis.^[38] Treatment for CPPD focuses on symptom management rather than crystal dissolution, as no disease-modifying therapies currently exist to reduce CPP crystal burden. For acute flares, first-line options include nonsteroidal anti-inflammatory drugs (NSAIDs) such as indomethacin or naproxen, colchicine (typically 0.6 mg once or twice daily), or intra-articular corticosteroid injections to rapidly alleviate pain and inflammation.^[39] In chronic CPPD arthritis, low-dose colchicine (0.5–1 mg daily) or NSAIDs are used prophylactically to prevent recurrent attacks, with methotrexate considered for refractory cases unresponsive to standard therapy.^[40] For advanced chronic cases with significant joint damage, surgical interventions such as joint replacement or synovectomy may be necessary to restore function.^[41] Recent developments as of 2025 have expanded options for refractory CPPD, particularly with interleukin-1 (IL-1) inhibitors like anakinra, which has shown efficacy in reducing acute flares and chronic inflammation in patients unresponsive to conventional treatments, including those on renal replacement therapy.^[42] Genetic screening for familial forms of CPPD, involving mutations in genes such as ANKH, is increasingly recommended in younger patients or those with family history to identify hereditary predispositions and guide counseling.^[43] Ongoing research into anti-crystal therapies, including pyrophosphate analogs aimed at inhibiting crystal formation, holds promise for future disease-modifying approaches, though clinical trials remain in early stages.^[44] Additionally, intra-articular sustained-release colchicine formulations have demonstrated potential in preclinical models for prolonged anti-inflammatory effects.^[45] CPPD is a chronic condition that can be effectively managed but not cured, with prognosis depending on early intervention and control of comorbidities like osteoarthritis. The prevalence of CPPD increases with age, affecting approximately 5–10% of elderly populations over 60 years, often presenting asymptomatically until triggered by joint stress or metabolic factors.^[46]

Applications

In dentistry and abrasives

Calcium pyrophosphate serves as a polishing agent in toothpaste formulations, functioning as a mild abrasive to clean and polish tooth surfaces gently. Its use in oral care products dates back to the mid-20th century, with patents describing its incorporation into dentifrices as early as 1959.^[26] The material's particle size is controlled to a median of 6–10 μm, with at least 80% of particles ranging from 3–20 μm, allowing for effective removal of surface stains and plaque without causing significant enamel wear.^[26] The abrasivity of calcium pyrophosphate is characterized by a relative dentin abrasion (RDA) value of 100, which positions it as a medium-level abrasive suitable for daily use in promoting oral hygiene.^[47] It operates through mechanical action, dislodging extrinsic deposits like plaque and food particles from enamel and dentin surfaces while minimizing the risk of excessive abrasion. In commercial toothpastes, it is typically included at concentrations of 10–60% by weight, often as the primary or sole abrasive, and has been featured in products such as Colgate Optic White whitening toothpastes since their development.^[26]^[48] As a biocompatible and non-toxic compound, calcium pyrophosphate offers advantages over some synthetic abrasives, including its low toxicity profile similar to other pyrophosphates used in food and industrial applications.^[49] It provides a viable alternative to hydrated silica, though silica remains more prevalent in modern formulations.^[50] This compatibility ensures safety for regular use, even in sensitive oral care routines.^[26]

Biomedical and material science uses

Calcium pyrophosphate (CPP), a calcium phosphate bioceramic with a Ca/P molar ratio of 1.0, exhibits enhanced solubility and bioresorbability compared to hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP), making it suitable for biomedical applications such as bone tissue engineering. Its biocompatibility, non-toxicity, and osteoconductive properties support integration with host bone, while its absorbability allows gradual degradation and replacement by natural tissue. A 2025 systematic review confirms CPP's potential as a biomaterial for bone regenerative therapy, highlighting its use in various forms and supporting evidence from preclinical and clinical studies.^[51] In bone regeneration, CPP serves as a bone graft substitute in forms like granules or porous scaffolds, demonstrating good osteoconductivity and faster resorption than HA in animal models including rabbits, dogs, and rats.^[51] It has been applied as a coating on porous alumina scaffolds to improve bioactivity and as a carrier for recombinant human bone morphogenetic protein-2 (rhBMP-2), enhancing osteogenic differentiation and bone formation.^[51] Clinically, CPP has been evaluated as a bone graft extender in lumbar spinal fusion procedures, showing comparable fusion rates to autologous bone graft in a randomized trial involving 46 patients.^[51] Beyond bone repair, CPP nanostructures, such as self-assembled nanofiber microspheres and nanotubes formed at ambient temperature without harsh chemicals, enable targeted drug delivery systems.^[52] These structures, with high specific surface areas (up to 125 m²/g) and nanoporosity (53%), facilitate enteric protection of proteins like albumin and horseradish peroxidase, releasing them controllably in simulated intestinal conditions (pH 7) while minimizing gastric degradation (pH 4).^[52] In vivo studies in mice confirm intact transit through the stomach to the intestines within 90 minutes, preserving protein activity by over 15% relative to free forms.^[52] In material science contexts intersecting with biomedicine, CPP's role as an intermediate in biological mineralization supports its use in developing bioactive composites for orthopedic and dental implants, though evidence remains preliminary and further clinical validation is needed.

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Calcium Pyrophosphate is generally immediately available in most volumes. High purity, submicron and nanopowder forms may be considered.
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CALCIUM PYROPHOSPHATE Property. Melting point: 1230 °C. Density, 3.09 g/mL at 25 °C(lit.) solubility, H2O: insoluble(lit.) form, Powder. Specific Gravity, 3.09.
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Rating 5.0 (1) ... Melting Point. 1353°C. Density. 3.09 g/cm³. Solubility. Insoluble in water ... The molecular weight of Calcium pyrophosphate is 254.10 g/mol. What are the ...
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The degree of hardness, i.e., polishing power, of the present calcium pyrophosphate product is almost completely determined by the degree of cryptocrystallinity ...
[37]
https://www.arthritis.org/diseases/calcium-pyrophosphate-deposition
[38]
Pathogenesis of calcium pyrophosphate deposition disease - PubMed
Oct 22, 2021 · Calcium pyrophosphate deposition disease is defined by the presence of calcium pyrophosphate (CPP) crystals in articular cartilage.
[39]
Calcium Pyrophosphate Deposition (CPPD)
Information on calcium pyrophosphate deposition (CPPD) for patients and caregivers: what it is, common symptoms, getting diagnosed, and treatment options.
[40]
Calcium Pyrophosphate Deposition - Arthritis Foundation
Calcium pyrophosphate deposition (CPPD) disease, commonly called “pseudogout,” is a painful form of arthritis that comes on suddenly.<|separator|>
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An Update on the Diagnosis and Management of Calcium Crystal ...
May 30, 2023 · SFA is invasive and not always possible, so imaging has a growing role in the diagnosis of CPPD.
[42]
Pseudogout - Diagnosis and treatment - Mayo Clinic
Jul 28, 2022 · Pseudogout symptoms can mimic those of gout and other types of arthritis, so lab and imaging tests are usually necessary to confirm a diagnosis.
[43]
Diagnosis and Treatment of Calcium Pyrophosphate Deposition ...
Mar 22, 2023 · Calcium Pyrophosphate Dihydrate (CPPD) crystal-related arthropathies are a common cause of acute and chronic arthritis caused by the deposition of calcium ...
[44]
Nonpharmacologic and Pharmacologic Management of CPP Crystal ...
Acute CPPD is treated in a similar manner to acute gouty arthritis. The mainstays of pharmacologic therapy are intraarticular corticosteroids, nonsteroidal ...Cppd · Acute Calcific Tendinitis · Clinical Presentation And...
[45]
https://pmc.ncbi.nlm.nih.gov/articles/PMC12481383/
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Chondrocalcinosis 2 | About the Disease | GARD
Familial calcium pyrophosphate deposition is diagnosed based on imaging such as X-rays. The diagnosis can be confirmed with genetic testing of the ANKH gene.
[47]
Calcium pyrophosphate deposition (CPPD) disease - PubMed
Treatment is aimed at ameliorating the inflammatory response and reducing the frequency and severity of clinical symptoms due to CPP deposition (CPPD).
[48]
Intra-articular sustained-release colchicine is efficacious in an ... - PMC
Sep 29, 2025 · SR-COL demonstrated efficacy in reducing pain, inflammation and joint destruction across all parameters. PKM-01 provided a strong and rapid ...
[49]
Calcium-Containing Crystal-Associated Arthropathies in the Elderly
Radiographic surveys of the knees, hands, wrists, and pelvis and epidemiologic studies have demonstrated an age-related increase in the prevalence of CPPD: 15% ...
[50]
[PDF] Toothpaste Abrasiveness Ranked by RDA (Relative Dentin ...
For experimental control, the test is repeated with an ADA reference toothpaste made of calcium pyrophosphate, with this measurement given a value of 100 to ...
[51]
Colgate Optic White Pro Series Stain Prevention Hydrogen Peroxide ...
Free delivery over $25 30-day returnsThis teeth whitening toothpaste is also an anticavity fluoride toothpaste to help Prevents Cavities. ... Propylene Glycol, Calcium Pyrophosphate, PVP, PEG/PPG-116 ...
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Pyrophosphates in toothpaste: a retrospective and reappraisal
Nov 27, 2020 · Pyrophosphates are chelating agents with low toxicity and a broad range of applications, such as food additives and in industrial applications.
[53]
Toothpaste Abrasion and Abrasive Particle Content - PMC - NIH
Mar 12, 2023 · Different reference abrasives such as silica and calcium pyrophosphate used for the test further complicate the comparison [10]. ... abrasivity ...
[54]
https://doi.org/10.1016/j.bioadv.2022.213086