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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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:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332201069X
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author Love Shah, MD
Joseph Zywiciel, BS
Alexander Kui, BA
Denton Connor, MD
Cheryl Zhang, BA
Maria M. Picken, MD, PhD
Emad Allam, MD
author_facet Love Shah, MD
Joseph Zywiciel, BS
Alexander Kui, BA
Denton Connor, MD
Cheryl Zhang, BA
Maria M. Picken, MD, PhD
Emad Allam, MD
author_sort Love Shah, MD
collection DOAJ
description 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.
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spelling doaj.art-106af41ee86541eb8b959998e56b4df42023-01-29T04:20:14ZengElsevierRadiology Case Reports1930-04332023-03-0118310051009Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplastyLove Shah, MD0Joseph Zywiciel, BS1Alexander Kui, BA2Denton Connor, MD3Cheryl Zhang, BA4Maria M. Picken, MD, PhD5Emad Allam, MD6Loyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USALoyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USALoyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USALoyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USALoyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USALoyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USACorresponding author.; Loyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USAAdverse 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.http://www.sciencedirect.com/science/article/pii/S193004332201069XAdverse reaction to metal debrisAdverse local tissue reactionPseudotumorMetal-on-metal hip arthroplastyGoutAmyloid
spellingShingle Love Shah, MD
Joseph Zywiciel, BS
Alexander Kui, BA
Denton Connor, MD
Cheryl Zhang, BA
Maria M. Picken, MD, PhD
Emad Allam, MD
Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
Radiology Case Reports
Adverse reaction to metal debris
Adverse local tissue reaction
Pseudotumor
Metal-on-metal hip arthroplasty
Gout
Amyloid
title Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
title_full Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
title_fullStr Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
title_full_unstemmed Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
title_short Adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
title_sort adverse reaction to metal debris with accompanying gout and amyloid deposits in hip arthroplasty
topic Adverse reaction to metal debris
Adverse local tissue reaction
Pseudotumor
Metal-on-metal hip arthroplasty
Gout
Amyloid
url http://www.sciencedirect.com/science/article/pii/S193004332201069X
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