Case studies
Hip pain
a Rheumatology
Division, b Infectious Division, c Radiology Division, d Hospital
Xeral-Calde Lugo, 27004 Lugo, Spain
Correspondence to: Dr Miguel A González-Gay, Division of Rheumatology, Hospital Xeral-Calde, c/ Dr Ochoa s/n, 27004 Lugo, Spain.
Accepted for publication 7 December 1998
| The first 150 words of the full text of this article appear below. |
 |
Clinical history |
|---|
A 34 year old man presented at the hospital because of
widespread pain in his left buttock, groin and posterior thigh that had
started gradually eight days earlier. He had been diagnosed with human
immunodeficiency virus (HIV) disease at the age of 24. Because of a
pneumocystis carinii pneumonia he was required to be bedridden for
three weeks during the month before admission. On physical examination
diffuse pain to palpation on the left groin, buttock, and posterior
thigh was noticed. In addition, an excruciating pain was provoked by
the movements of left hip, in particular by abduction and external
rotation. Moreover, pain did not allow him to put weight on his left
hip. However, no other abnormalities were found. At that time he was
initially diagnosed as having hip arthritis. Complete blood cell count
showed 4400/mm3 white cells (CD4 96/mm3), and
574 000/mm3 platelets. The haemoglobin was 10.6 g/dl.
Erythrocyte sedimentation rate was
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Pain (neurology)
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Muscle disease
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