Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Sequential Bilateral Rapid Destructive Inflammatory Coxarthrosis in a Patient with Human Immunodeficiency Virus

  • Kim, Hyeon Jun (Department of Orthopedic Surgery, Department of Pathology) ;
  • Kim, Sung Soo (Department of Orthopedic Surgery, Department of Pathology) ;
  • Kim, Su Jin (Dong-A University College of Medicine) ;
  • Lee, Kyung Ho (Department of Orthopedic Surgery, Department of Pathology)
  • Received : 2017.09.04
  • Accepted : 2018.01.15
  • Published : 2018.06.30
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Abstract

The diagnostic criteria for sequential rapidly destructive coxarthrosis remain unclear and this condition is rarely reported in patients with human immunodeficiency virus (HIV). Here, we report a case of an HIV-infected 73-year old female who experienced hip joint destruction. The patient was diagnosed with HIV in 2012 (at age 68 years) and began continuous treatment with nucleoside reverse transcriptase and protease inhibitors. Twenty-nine months after her HIV diagnosis, the patient experienced osteonecrosis of the right hip and underwent a total hip arthroplasty (THA). Twelve months post right-hip THA, X-ray results showed good outcomes. Eight months later (20 months post THA), however, osteolysis of the left femoral head was detected upon radiological exam and THA of the left hip was performed; chronic inflammation and fibrosis were identified in the resultant biopsy. Favorable results were obtained at 3 months after the second surgery.

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References

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