Rapidly destructive arthrosis of the hip joint in a young adult with systemic lupus erythematosus

Yongseung Lee, Goro Motomura, Takuaki Yamamoto, Yasuharu Nakashima, Masanobu Ohishi, Satoshi Hamai, Kunio Iura, Yukihide Iwamoto

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

A 37-year-old female had been treated with corticosteroids for systemic lupus erythematosus clinically diagnosed at age 10. She suddenly had right hip pain without any antecedent trauma. Four months after the onset of pain, she visited her primary care physician. On magnetic resonance imaging, joint space narrowing at the weight-bearing area was already seen with bone marrow edematous lesions in both the femoral head and acetabulum. She was treated non-operatively; however, her pain continued to worsen in severity. Thirteen months after the onset of pain, she was referred to our hospital. A plain radiograph showed subluxation of the collapsed femoral head accompanied by destruction of the acetabular rim. Because of her severe intractable pain, she underwent total hip arthroplasty 1 month after her first visit. Histological examination of the resected femoral head revealed pseudogranulomatous lesions along with prominent callus formation, suggesting rapid destruction of the femoral head.

Original languageEnglish
Pages (from-to)1753-1757
Number of pages5
JournalRheumatology International
Volume35
Issue number10
DOIs
Publication statusPublished - Oct 22 2015

All Science Journal Classification (ASJC) codes

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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