Rapid 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 showed that rheumatoid arthritis was most likely diagnosis. The patient was treated with total hip arthroplasty and etanercept, with good results.
Yoshioka
Taro
T
Department of Joint Disease and Rheumatism, Nippon Medical School, Tokyo, Japan.
Tachihara
Akitoshi
A
Koyama
Tairo
T
Iwakawa
Kayo
K
Sakane
Manabu
M
Nakamura
Hiroshi
H
D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy; D019644:Arthroplasty, Replacement, Hip; D002061:Bursa, Synovial / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D000068800:Etanercept; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007074:Immunoglobulin G / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011859:Radiography; D018124:Receptors, Tumor Necrosis Factor / Q000627:therapeutic use; D016896:Treatment Outcome
D018501:Antirheumatic Agents; D007074:Immunoglobulin G; D018124:Receptors, Tumor Necrosis Factor; D000068800:Etanercept