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Gout Presenting as Acute Hip Pain in a Young Woman

A Case Report

Xu, Shin, MD1; Emanuelli, Elisa, BS1; Tarakemeh, Armin, BA1; Vopat, Bryan G., MD1; Schroeppel, John Paul, MD1; Mullen, Scott, MD1

doi: 10.2106/JBJS.CC.18.00164
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Disclosures

Case: A 28-year-old previously healthy woman developed worsening right hip pain without any preceding trauma or injury. Because of concern for septic arthritis, she underwent arthroscopic irrigation and debridement. The culture specimens were negative; crystal analysis showed monosodium urate crystals, which are consistent with an acute gout flare. The patient was started on naproxen and prednisone therapy and had substantial improvement in hip pain.

Conclusion: Gout is a common cause of joint pain in older individuals. While rare in younger patients, our case report shows that gout should be included in the differential diagnosis when a patient presents with acute monoarthritis, regardless of age.

1University of Kansas Medical Center, Kansas City, Kansas

E-mail address for S. Xu: sxu2@kumc.edu

Investigation performed at the University of Kansas Medical Center, Kansas City, Kansas

Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A771).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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