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[Hip diseases in hemorrhagic rectocolitis. Apropos of 4 cases]
R M Flipo1, A Cotten, T Derisquebourg
1Service de Rhumatologie, Hôpital B, CHRU, Lille.
Insights
Erosive hip lesions are rare in ulcerative colitis patients. These severe hip conditions often require hip replacement surgery, indicating a poor prognosis.
Area of Science:
- Gastroenterology
- Rheumatology
- Orthopedic Surgery
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- Erosive hip lesions are an uncommon but severe complication in UC patients.
Observation:
- A retrospective analysis of four UC patients with chronic hip lesions over 30 years.
- All patients presented with bilateral hip involvement.
- Two patients also exhibited axial disease, and radiographic features mimicked ankylosing spondylitis.
Findings:
- Two patients experienced severe hip destruction.
- Acetabular protrusion developed in two patients.
- All four patients required prompt total hip arthroplasty due to the severity of hip lesions.
Implications:
- Hip lesions in UC patients carry a poor prognosis.
- Early recognition and management are crucial for patients with UC and hip complications.
- This highlights the need for further research into the pathogenesis and treatment of these rare hip manifestations in ulcerative colitis.
Abstract:
Erosive hip lesions are uncommon in patients with ulcerative colitis. We analyzed features of chronic hip lesions in four ulcerative colitis patients seen over the last 30 years. Two patients also had axial disease. Both hips were involved in all four cases. Roentgenographic features resembled those seen in ankylosing spondylitis in two cases. Severe destruction occurred in two patients. Two patients developed acetabular protrusion. All four patients rapidly required total hip arthroplasty, illustrating the poor prognosis of hip lesions associated with ulcerative colitis.