-Case Reports-

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

Taro Yoshioka, Akitoshi Tachihara, Tairo Koyama, Kayo Iwakawa, Manabu Sakane and Hiroshi Nakamura

Department of Joint Disease and Rheumatism, Nippon Medical School

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.

J Nippon Med Sch 2008; 75: 233-238

Keywords
rheumatoid arthritis, iliopsoas bursa, total hip arthroplasty

Correspondence to
Hiroshi Nakamura, MD, PhD, Department of Joint Disease and Rheumatism, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
nakamura@nms.ac.jp

Received, April 2, 2008
Accepted, April 18, 2008