Acute Hip Pain—A Forgotten Cause

Fua, Tzay-Ping; Lee, Yee Han Dave

doi:10.4236/ijcm.2016.73018

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2020

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“…The use of ultrasound-guided joint aspiration has reported in West Africa for a case of acute gout of the hip joint. Ultrasound visualization for joint aspiration poses less risk to patients with pre-existing renal impairment compared to the use of CT [8].…”

Section: Discussionmentioning

confidence: 99%

Tophaceous Gout of Hip Joint Mimicking Bone Tumor

Idulhaq

Rosihan

Handry

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Gout is a condition characterized by abnormally elevated levels of uric crystals (gouty tophi). It is often to detect in the foot and ankle. Occasionally such tophus is found at rare sites and makes a challenge to the clinician where diagnosis and treatment are concerned. CASE REPORT: We present a patient who presented to our oncology department with pain on her right hip. It was diagnosed as a benign tumor by the clinical and radiological assessment but intraoperatively turned out to be gouty tophi. Excision surgery has performed, in the 1-year follow-up; there is no relapse of pain. CONCLUSIONS: Tophaceous gout in the hip joint is a rare case, which clinical and radiology assessments can detect erroneous diagnose. Tophaceous gout in the hip joint mimicked the bone tumor characteristics. It requires a better application and diagnosed for the mimicked tophaceous gout.

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Section: Discussionmentioning

confidence: 99%