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Case Report

Hip Pelvis 2012; 24(4): 328-332

Published online December 1, 2012

https://doi.org/10.5371/hp.2012.24.4.328

© The Korean Hip Society

Acute Phase of Sero-negative Rheumatoid Arthritis Misdiagnosed as Pyogenic Arthritis - A Case Report -

Cheol Hee Park, MD, Joo Hyun Lee, MD, Tae Jin Kim, MD, Dong Hurr, MD, Young Soo Chun, MD, Kee Hyung Rhyu, MD, Yoon Je Cho, MD, PhD

Author Affiliations
Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea

Correspondence to : Yoon Je Cho, MD, PhD
Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, #1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea
TEL: +82-2-958-8346 FAX: +82-2-964-3865
E-mail: yjcho@khmc.or.kr

Received: October 14, 2012; Revised: November 15, 2012; Accepted: November 16, 2012

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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In cases of sero-negative rheumatoid arthritis (RA), no abnormal findings are observed on blood tests and its clinical course is favorable, compared to sero-positive RA. In the acute phase of sero-negative RA, infiltration of neutrophils may be the only pathologic finding on frozen section biopsy. Thus, it might be misdiagnosed as pyogenic arthritis. We report on a case of acute sero-negative RA misdiagnosed as pyogenic arthritis during hip surgery with review of the literature.

Keywords Hip, Seronegative rheumatoid arthritis, Pyogenic arthritis

Article

Case Report

Hip Pelvis 2012; 24(4): 328-332

Published online December 1, 2012 https://doi.org/10.5371/hp.2012.24.4.328

Copyright © The Korean Hip Society.

Acute Phase of Sero-negative Rheumatoid Arthritis Misdiagnosed as Pyogenic Arthritis - A Case Report -

Cheol Hee Park, MD, Joo Hyun Lee, MD, Tae Jin Kim, MD, Dong Hurr, MD, Young Soo Chun, MD, Kee Hyung Rhyu, MD, Yoon Je Cho, MD, PhD

Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea

Correspondence to:Yoon Je Cho, MD, PhD
Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, #1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea
TEL: +82-2-958-8346 FAX: +82-2-964-3865
E-mail: yjcho@khmc.or.kr

Received: October 14, 2012; Revised: November 15, 2012; Accepted: November 16, 2012

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In cases of sero-negative rheumatoid arthritis (RA), no abnormal findings are observed on blood tests and its clinical course is favorable, compared to sero-positive RA. In the acute phase of sero-negative RA, infiltration of neutrophils may be the only pathologic finding on frozen section biopsy. Thus, it might be misdiagnosed as pyogenic arthritis. We report on a case of acute sero-negative RA misdiagnosed as pyogenic arthritis during hip surgery with review of the literature.

Keywords: Hip, Seronegative rheumatoid arthritis, Pyogenic arthritis

H&P
Vol.36 No.1 Mar 01, 2024, pp. 1~75
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