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Case Reports in Medicine
Volume 2010, Article ID 842814, 4 pages
http://dx.doi.org/10.1155/2010/842814
Case Report

Pseudogout Associated Hip Pain in a Patient with HIV Infection

1North Middlesex University Hospital, Sterling Way, London N18 1QX, UK
2Watford General Hospital, Hertfordshire WD18 0HB, UK

Received 26 August 2010; Accepted 3 November 2010

Academic Editor: Ingo W. Husstedt

Copyright © 2010 Benan M. Dala-Ali et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

HIV infection is a global pandemic, currently affecting approximately 77,000 people in the UK and 33 million people around the world. The infection has widespread effects on the body and can involve the musculoskeletal system. It is therefore important that orthopaedic surgeons are aware of the condition and its sequelae. We present the case of a 46-year-old man with a 10-year history of HIV who presented with acute hip pain, difficulty weight-bearing, and constitutional symptoms. Following radiological, microbiological, and serological tests a diagnosis of pseudogout was established following microscopic analysis of the hip joint aspirate. The patient's symptoms resolved completely following the joint aspiration and NSAID therapy. Studies have shown a relationship between HIV infection and gout. The virus has also been linked to osteonecrosis, osteopenia, bone and joint tuberculosis, and septic arthritis from rare pathogens. However, it is difficult to fully ascertain whether these conditions are related to the HIV infection itself or the HAART (highly active antiretroviral therapy). There are no previously reported cases of HIV-infected patients with pseudogout. The case is discussed with reference to the literature.