Document Detail

Pseudo-septic hip arthritis as the presenting symptom of ankylosing spondylitis: a case series and review of the literature.
MedLine Citation:
PMID:  20576228     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Ankylosing spondylitis (AS) typically presents with inflammatory back pain and stiffness, but severe hip involvement may also be present. In this study, we evaluated the frequency of severe hip arthritis mimicking septic arthritis as initial presenting symptom of AS. METHODS: Utilising billing records, we retrospectively studied all AS patients seen from the years 2006 to 2009 at our institution. The primary endpoint was severe hip arthritis mimicking septic arthritis as the initial presenting symptom of AS. RESULTS: A total of 121 AS patients were identified from billing records, of whom 3 had severe hip arthritis mimicking septic arthritis as the initial presenting symptom of ankylosing spondylitis. CONCLUSIONS: Our study highlights the importance of including AS in the differential diagnosis of severe acute inflammatory hip arthritis in young adults, even when the onset appears to be abrupt.
Tanisha Mathur; Augustine M Manadan; Bala Hota; Joel A Block
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-06-23
Journal Detail:
Title:  Clinical and experimental rheumatology     Volume:  28     ISSN:  0392-856X     ISO Abbreviation:  Clin. Exp. Rheumatol.     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-06-25     Completed Date:  2010-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8308521     Medline TA:  Clin Exp Rheumatol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  416-8     Citation Subset:  IM    
Rush University Medical Center and John H. Stroger, Jr. Hospital of Cook County, Chigago, IL, USA.
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MeSH Terms
Acute Disease
Arthritis, Infectious / diagnosis*
Diagnosis, Differential
Hip Joint*
Retrospective Studies
Spondylitis, Ankylosing / diagnosis*
Young Adult

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