Lesson of the month
Unexplained hip pain: look beyond the obvious abnormality
Repatriation General Hospital, Daws Road, Daw Park,
South Australia
Correspondence to: Dr M D Smith, Rheumatology Research Unit, Repatriation General Hospital, Daws Road, Daw Park, South Australia 5041.
Accepted for publication 20 January 1998
| The first 150 words of the full text of this article appear below. |
 |
Case history |
|---|
A 53 year old self employed white business man was seen by
the rheumatology unit at this hospital for the first time in May 1997. Over the last three years he had seen three different rheumatologists with an assymetrical arthritis, affecting mainly the right hand. This
had been diagnosed as rheumatoid arthritis, based on the presence of
rheumatoid factor in the blood and treated with 10 to 15 mg
prednisolone a day for the last two years, as well as periods of
treatment with sulphasalazine and methotrexate in the past. He
presented with a painful right thumb and a painful restriction of left
hip joint movement, which had gradually increased over the previous six
weeks. His past history included a four year history of pustular
psoriasis without apparent joint involvement and a history of low back
and left groin pain 10 years ago, investigated elsewhere with a bone
scan, plain radiography, and computed tomography
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Clinical diagnostic tests
-
Radiology (diagnostics)
-
Pain (neurology)
-
Radiology
-
Degenerative joint disease
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
