This document discusses calcium pyrophosphate deposition (CPPD) disease, also known as pseudogout. It begins by noting that CPPD disease is underrecognized and can present in varied ways, from acute pseudogout attacks to chronic polyarticular arthritis. It then covers the pathophysiology of CPP crystal deposition, risk factors for acute pseudogout, associated medical conditions, diagnostic findings on imaging and arthrocentesis, and treatment approaches which are all off-label and based on small studies or expert opinion.