Acute destruction of the hip joints and rapid resorption of femoral head in patients with rheumatoid arthritis

Koichiro Yoshino, Shigeki Momohara, Katsunori Ikari, Koichiro Kawamura, Takeshi Mochizuki, Takuji Iwamoto, Yasuo Niki, Seiji Saitou, Taisuke Tomatsu

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

We report three rheumatoid arthritis (RA) cases with acute destruction of hip joint and rapid resorption of femoral head. The condition occurred in less than 6 months and closely resembled rapid destructive coxarthrosis. All three patients were postmenopausal women with active RA who had been taking steroids. Two of the patients were taking prednisolone (PSL) of over 20 mg as maximum dose per day, and all patients were resistant to disease-modifying anti-rheumatic drugs (DMARDs). Other than the problems of their hip joints, one had a giant bursitis around the pathological side of the hip joint, another had multiple rheumatoid nodules and skin infarction, and the other suffered from insufficiency fracture of the contralateral femoral subcapital lesion. As a result, all of them had total hip arthroplasty. We recommend taking repetitive radiographs for RA patients with continuing severe hip pain.

Original languageEnglish
Pages (from-to)395-400
Number of pages6
JournalModern rheumatology
Volume16
Issue number6
DOIs
Publication statusPublished - 2006 Dec 1
Externally publishedYes

Keywords

  • Femoral head resorption
  • Rapidly destructive coxarthrosis (RDC)
  • Rheumatoid arthritis (RA)

ASJC Scopus subject areas

  • Rheumatology

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