Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis

Arash Calafi; Alton W Skaggs; Trevor J Shelton; Brian M Haus

doi:10.1155/2019/4593129

Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis

Case Rep Orthop. 2019 Mar 6:2019:4593129. doi: 10.1155/2019/4593129. eCollection 2019.

Authors

Arash Calafi¹, Alton W Skaggs², Trevor J Shelton³, Brian M Haus^{3

4}

Affiliations

¹ University of Washington Department of Orthopaedics and Sports Medicine, 1959 N.E. Pacific St., Box 356500 Seattle, WA 98195, USA.
² School of Medicine at University of California at Davis, Sacramento, CA 95817, USA.
³ Department of Orthopaedic Surgery, University of California at Davis, 4860 Y Street, Suite 3800, Sacramento, CA 95829, USA.
⁴ Shriners Hospital for Children, Northern California, 2425 Stockton Blvd., Sacramento, CA 95817, USA.

Abstract

We report a novel case of a pediatric patient with bilateral hip destruction from untreated Juvenile idiopathic arthritis (JIA). She was presented at the age of 9 with hip pain associated with bilateral acetabular dysplasia and a dislocated left femoral head. Only 1.5 years later, the patient developed complete destruction of the left femoral head and dislocated right femoral head. The authors have not identified literature describing a similar case report of bilateral femoral head destruction resulting from Persistent Oligoarticular JIA. Pediatric patients presenting with rapidly evolving destructive process should be evaluated for rheumatologic, infectious, and spinal etiologies.

Publication types

Case Reports