Rapidly Destruction of the Hip Joint Associated with Enlarged Iliopsoas Bursa in a Patient with Refractory Rheumatoid Arthritis

A case of refractory rheumatoid arthritis with a rapid destruction of the hip joint and an enlarged iliopsoas bursa is presented. Rapidly destructive coxarthrosis, chondrocalcinosis, suppurative arthritis, and pigmented villonodular synovitis were the differential diagnoses. Radiological examination...

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Published inJournal of Nippon Medical School Vol. 75; no. 4; pp. 233 - 238
Main Authors Taro Yoshioka, Akitoshi Tachihara, Tairo Koyama, Kayo Iwakawa, Manabu Sakane, Hiroshi Nakamura
Format Journal Article
LanguageJapanese
Published The Medical Association of Nippon Medical School 2008
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Summary:A case of refractory rheumatoid arthritis with a rapid destruction of the hip joint and an enlarged iliopsoas bursa is presented. Rapidly destructive coxarthrosis, chondrocalcinosis, suppurative arthritis, and pigmented villonodular synovitis were the differential diagnoses. Radiological examination showed that rheumatoid arthritis was most likely diagnosis. The patient was treated with total hip arthroplasty and etanercept, with good results.
ISSN:1345-4676