Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty

Radiology Case Reports

article

Love Shah¹  Joseph Zywiciel¹  Alexander Kui¹  Denton Connor¹  Cheryl Zhang¹  Maria M. Picken¹  Emad Allam¹ 

[1] Loyola University Chicago and Loyola University Medical Center

关键词: Adverse reaction to metal debris;    Adverse local tissue reaction;    Pseudotumor;    Metal-on-metal hip arthroplasty;    Gout;    Amyloid;   

DOI  :  10.1016/j.radcr.2022.11.079

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Adverse reaction to metal debris (ARMD) is a known complication of metal-on-metal hip arthroplasty. There has been one previously reported case of ARMD with concomitant gout in the setting of a hip arthroplasty. We report a case of ARMD with accompanying monosodium urate crystals as well as amyloid deposition in the hip of a patient who had undergone a metal-on-metal hip arthroplasty. This is the only published case to date of these 3 conditions co-existing, although it is possible that the incidence is higher since these require special diagnostic tests that are not routinely performed. It is postulated that these entities are biochemically associated with each other rather than being purely coincidental.

【 授权许可】

CC BY|CC BY-NC-ND