The pattern is stable and of long duration, and its onset can be traced back at least to adolescence or early adulthood. The enduring pattern is not better explained as a manifestation or consequence of another mental disorder. The enduring pattern is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., head trauma). ICD-11
The ICD-11 personality disorder section differs substantially compared to the previous edition ICD-10. All distinct PDs have been merged into one: Personality disorder (6D10), which can be coded as Mild (6D10.0), Moderate (6D10.1), Severe (6D10.2), or severity unspecified (6D10.Z). There is also an additional category called Personality difficulty (QE50.7), which can be used to describe personality traits that are problematic, but do not meet the diagnostic criteria for a PD. A personality disorder or difficulty can be specified by one or more Prominent personality traits or patterns (6D11). The ICD-11 uses five trait domains: (1) Negative affectivity (6D11.0); (2) Detachment (6D11.1), (3) Dissociality (6D11.2), (4) Disinhibition (6D11.3), and (5) Anankastia (6D11.4). Listed directly underneath is Borderline pattern (6D11.5), a category similar to Borderline personality disorder. This is not a trait in itself, but a combination of the five traits in certain severity.
Crystal arthropathy is a class of joint disorder (called arthropathy) that is characterized by accumulation of tiny crystals in one or more joints. Polarizing microscopy and application of other crystallographic techniques have improved identification of different microcrystals including monosodium urate, calcium pyrophosphate dihydrate, calcium hydroxyapatite, and calcium oxalate. Types
Causes
Deposition of crystals in joints
Calcium pyrophosphate dihydrate crystal formation:
Increased production of inorganic pyrophosphate
Decreased levels of pyrophosphatase in cartilage
Decreased levels of cartilage glycosaminoglycans
Hyperparathyroidism
Hemochromatosis
Hypophosphatasia
Hypomagnesemia
Hydroxyapatite deposition:
Tissue damage
Hyperparathyroidism
Hypercalcemia
Hyperphosphatemia
Calcium oxalate deposition:
Enhanced production of oxalic acid due to enzyme defect
Poor excretion of oxalic acid in kidney failure
Excessive ascorbic acid intake in kidney failure

Risk factors
Obesity
Kidney failure
Hyperphosphatemia
Hyperparathyroidism
Hypercalcemia
Tissue damage (dystrophic calcification)

Diagnosis
Differential diagnosis
Septic arthritis
Type IIa hyperlipoproteinemia
Amyloidosis
Multicentric reticulohistiocytosis
Hyperparathyroidism
Spondyloarthropathy
Rheumatoid arthritis
Fibromyalgia

Treatment
References


== External links ==