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

研究成果: Article査読

16 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)395-400
ページ数6
ジャーナルModern rheumatology
16
6
DOI
出版ステータスPublished - 2006 12
外部発表はい

ASJC Scopus subject areas

  • Rheumatology

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