{"title":"类风湿性关节炎的双侧快速破坏性关节病。","authors":"Stoimen Dimitrov, Georgi Gerganov, Simona Bogdanova, Svetlana Hristova, Rosina Moraliyska, Svetoslav Dimitrov, Zhaklin Apostolova, Desislava Simeonova, Tanya Shivacheva, Tsvetoslav Georgiev","doi":"10.5114/reum/186977","DOIUrl":null,"url":null,"abstract":"<p><p>Rapidly destructive coxopathy (RDC) is a rare type of coxarthritis marked by swift deterioration of the hip joint. Although its cause remains unclear, several pathophysiological mechanisms are proposed. To comprehensively analyze this poorly understood condition, a literature search was conducted focusing on associations of bilateral RDC and rheumatoid arthritis (RA). The problem of long-standing RA, bilateral RDC with a febrile episode that preceded a rapid decline in mobility and severe hip pain, with radiological assessment confirmed bilateral hip destruction, was presented. Rapidly destructive coxopathy, especially when linked to RA, poses diagnostic and therapeutic challenges. Our review confirmed by the clinical picture emphasizes the need for vigilance in RA patients with hip involvement and calls for further research to understand RDC's mechanisms and enhance clinical care.</p>","PeriodicalId":21312,"journal":{"name":"Reumatologia","volume":"62 2","pages":"134-141"},"PeriodicalIF":1.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114130/pdf/","citationCount":"0","resultStr":"{\"title\":\"Bilateral rapidly destructive coxopathy in rheumatoid arthritis.\",\"authors\":\"Stoimen Dimitrov, Georgi Gerganov, Simona Bogdanova, Svetlana Hristova, Rosina Moraliyska, Svetoslav Dimitrov, Zhaklin Apostolova, Desislava Simeonova, Tanya Shivacheva, Tsvetoslav Georgiev\",\"doi\":\"10.5114/reum/186977\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Rapidly destructive coxopathy (RDC) is a rare type of coxarthritis marked by swift deterioration of the hip joint. Although its cause remains unclear, several pathophysiological mechanisms are proposed. To comprehensively analyze this poorly understood condition, a literature search was conducted focusing on associations of bilateral RDC and rheumatoid arthritis (RA). The problem of long-standing RA, bilateral RDC with a febrile episode that preceded a rapid decline in mobility and severe hip pain, with radiological assessment confirmed bilateral hip destruction, was presented. Rapidly destructive coxopathy, especially when linked to RA, poses diagnostic and therapeutic challenges. Our review confirmed by the clinical picture emphasizes the need for vigilance in RA patients with hip involvement and calls for further research to understand RDC's mechanisms and enhance clinical care.</p>\",\"PeriodicalId\":21312,\"journal\":{\"name\":\"Reumatologia\",\"volume\":\"62 2\",\"pages\":\"134-141\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114130/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Reumatologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5114/reum/186977\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/4/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"RHEUMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reumatologia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5114/reum/186977","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
快速破坏性髋关节病(RDC)是一种罕见的髋关节炎,其特点是髋关节迅速恶化。虽然其病因尚不清楚,但已提出了几种病理生理机制。为了全面分析这一鲜为人知的疾病,我们进行了一次文献检索,重点是双侧 RDC 与类风湿性关节炎(RA)的关联。该研究提出了一个问题:长期患有类风湿性关节炎、双侧 RDC 的患者在活动能力急剧下降和髋部剧烈疼痛之前出现发热,放射学评估证实双侧髋部受到破坏。快速破坏性髋关节病,尤其是与 RA 相关时,给诊断和治疗带来了挑战。我们的综述与临床表现相印证,强调了对髋关节受累的 RA 患者保持警惕的必要性,并呼吁开展进一步研究,以了解 RDC 的机制并加强临床护理。
Bilateral rapidly destructive coxopathy in rheumatoid arthritis.
Rapidly destructive coxopathy (RDC) is a rare type of coxarthritis marked by swift deterioration of the hip joint. Although its cause remains unclear, several pathophysiological mechanisms are proposed. To comprehensively analyze this poorly understood condition, a literature search was conducted focusing on associations of bilateral RDC and rheumatoid arthritis (RA). The problem of long-standing RA, bilateral RDC with a febrile episode that preceded a rapid decline in mobility and severe hip pain, with radiological assessment confirmed bilateral hip destruction, was presented. Rapidly destructive coxopathy, especially when linked to RA, poses diagnostic and therapeutic challenges. Our review confirmed by the clinical picture emphasizes the need for vigilance in RA patients with hip involvement and calls for further research to understand RDC's mechanisms and enhance clinical care.