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

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

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...

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Bibliographic Details
Main Authors: Love Shah, MD, Joseph Zywiciel, BS, Alexander Kui, BA, Denton Connor, MD, Cheryl Zhang, BA, Maria M. Picken, MD, PhD, Emad Allam, MD
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Radiology Case Reports
Subjects:
Adverse reaction to metal debris
Adverse local tissue reaction
Pseudotumor
Metal-on-metal hip arthroplasty
Gout
Amyloid
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332201069X
Description
Summary: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.
ISSN:1930-0433

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