Crowned Dens Syndrome Triggered by Dental Treatment

ABSTRACT Crowned dens syndrome (CDS) is an important yet often overlooked cause of fever and neck pain, frequently leading to unnecessary examinations and treatments and misdiagnosis as infectious diseases or rheumatic diseases. The mechanism of an acute attack of CDS is not clarified completely, wh...

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Main Authors: Satoru Morita, Yuki Otsuka, Yohei Masuda, Yoshiaki Soejima, Fumio Otsuka
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70168
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author Satoru Morita
Yuki Otsuka
Yohei Masuda
Yoshiaki Soejima
Fumio Otsuka
author_facet Satoru Morita
Yuki Otsuka
Yohei Masuda
Yoshiaki Soejima
Fumio Otsuka
author_sort Satoru Morita
collection DOAJ
description ABSTRACT Crowned dens syndrome (CDS) is an important yet often overlooked cause of fever and neck pain, frequently leading to unnecessary examinations and treatments and misdiagnosis as infectious diseases or rheumatic diseases. The mechanism of an acute attack of CDS is not clarified completely, while it is considered that severe systemic stress can trigger inflammation caused by calcium pyrophosphate crystals. We describe a case of CDS triggered by localized physical stress to the neck and emphasize the importance of considering this condition in cases of fever and neck pain following dental treatment.
format Article
id doaj-art-a932237eeadc4c46bdc71fe0a43e83c4
institution DOAJ
issn 2050-0904
language English
publishDate 2025-02-01
publisher Wiley
record_format Article
series Clinical Case Reports
spelling doaj-art-a932237eeadc4c46bdc71fe0a43e83c42025-08-20T03:11:06ZengWileyClinical Case Reports2050-09042025-02-01132n/an/a10.1002/ccr3.70168Crowned Dens Syndrome Triggered by Dental TreatmentSatoru Morita0Yuki Otsuka1Yohei Masuda2Yoshiaki Soejima3Fumio Otsuka4Department of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama JapanDepartment of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama JapanDepartment of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama JapanDepartment of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama JapanDepartment of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama JapanABSTRACT Crowned dens syndrome (CDS) is an important yet often overlooked cause of fever and neck pain, frequently leading to unnecessary examinations and treatments and misdiagnosis as infectious diseases or rheumatic diseases. The mechanism of an acute attack of CDS is not clarified completely, while it is considered that severe systemic stress can trigger inflammation caused by calcium pyrophosphate crystals. We describe a case of CDS triggered by localized physical stress to the neck and emphasize the importance of considering this condition in cases of fever and neck pain following dental treatment.https://doi.org/10.1002/ccr3.70168calcium pyrophosphate crystal deposition diseasecrowned dens syndromedental treatmentfeverneck pain
spellingShingle Satoru Morita
Yuki Otsuka
Yohei Masuda
Yoshiaki Soejima
Fumio Otsuka
Crowned Dens Syndrome Triggered by Dental Treatment
Clinical Case Reports
calcium pyrophosphate crystal deposition disease
crowned dens syndrome
dental treatment
fever
neck pain
title Crowned Dens Syndrome Triggered by Dental Treatment
title_full Crowned Dens Syndrome Triggered by Dental Treatment
title_fullStr Crowned Dens Syndrome Triggered by Dental Treatment
title_full_unstemmed Crowned Dens Syndrome Triggered by Dental Treatment
title_short Crowned Dens Syndrome Triggered by Dental Treatment
title_sort crowned dens syndrome triggered by dental treatment
topic calcium pyrophosphate crystal deposition disease
crowned dens syndrome
dental treatment
fever
neck pain
url https://doi.org/10.1002/ccr3.70168
work_keys_str_mv AT satorumorita crowneddenssyndrometriggeredbydentaltreatment
AT yukiotsuka crowneddenssyndrometriggeredbydentaltreatment
AT yoheimasuda crowneddenssyndrometriggeredbydentaltreatment
AT yoshiakisoejima crowneddenssyndrometriggeredbydentaltreatment
AT fumiootsuka crowneddenssyndrometriggeredbydentaltreatment