Which condition is associated with pseudogout as an endocrine/metabolic association?

• A. Hyperparathyroidism
• B. Hyperlipidemia
• C. Hypothyroidism
• D. Diabetes mellitus

Answer: (A)

Pseudogout is often tied to disorders that disturb mineral metabolism, especially those affecting calcium and phosphate balance. Hyperparathyroidism raises parathyroid hormone levels, which increases serum calcium and phosphate and elevates the calcium–phosphate product. This environment promotes deposition of calcium pyrophosphate dihydrate crystals in joints, leading to the characteristic inflammatory attacks of pseudogout. That classic metabolic link to CPPD makes hyperparathyroidism the best answer.

Other conditions like hyperlipidemia, diabetes mellitus, or hypothyroidism can occur in the patient population but are not among the strongest, most well-established metabolic associations with CPPD.