Nabil Dammak, Hassen Cheikhrouhou, Walid Balti, Issam Khalifa, Mouna Sghir, Wassia Kessomtini, Faouzi Abid
Faculté de Médecine de Monastir, Service d'Orthopédie, CHU Taher Sfar, Mahdia, Tunisia.
Faculté de Médecine de Monastir, Service de Médecine Physique, CHU Taher Sfar, Mahdia, Tunisia.
Pan Afr Med J. 2020 Dec 3;37:306. doi: 10.11604/pamj.2020.37.306.20859. eCollection 2020.
This study reports a case of gouty arthritis in the hip joint in a 57-year-old woman with diabetes and hypertension, with no history of gout, presenting with chronic pain in the right hip. Clinical examination showed obese patient, having painful right limping with lateral hip flexion during walking. Standard radiography objectified osteocondensing formations at the level of the anterior femoral neck. Laboratory tests showed inflammatory syndrome with normal uric acid concentration. Computerised tomography (CT) scan and magnetic resonance imaging (MRI) suggested chondromatosis of the hip. The patient underwent surgical treatment based on complete excision of the friable formation and hip arthrolysis. Bacteria were not isolated during the anatomopathological study which showed gout affecting the hip. The patient received medical treatment based on Colchicine. The patient had complete recovery of flexion, disappearance of limping and satisfactory improvement in hip pain.
本研究报告了一例57岁患有糖尿病和高血压的女性髋关节痛风性关节炎病例，该患者无痛风病史，表现为右髋慢性疼痛。临床检查显示患者肥胖，行走时右髋疼痛伴跛行，髋关节外展屈曲。标准X线检查发现股骨颈前部有骨质致密形成。实验室检查显示炎症综合征，尿酸浓度正常。计算机断层扫描（CT）和磁共振成像（MRI）提示髋关节滑膜软骨瘤病。患者接受了基于易碎组织完全切除和髋关节松解术的手术治疗。解剖病理学研究未分离出细菌，结果显示痛风累及髋关节。患者接受了秋水仙碱治疗。患者髋关节屈曲完全恢复，跛行消失，髋部疼痛得到满意改善。
