000			01877cam a2200193 4500
001			NMDX7094
008			120401t2010 xxu||||| |||| 00| 0 eng d
100			_aDala-Ali, BM.
240			_aCase Reports in Medicine
245			_aPseudogout associated hip pain in a patient with HIV infection
260			_c2010
500			_aNMUH Staff Publications
500			_a2010
520			_a<span style="font-size: 10pt;">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.</span>
700			_aWelck, M.
700			_aAtkinson, H.D.
856			_uhttps://www.ncbi.nlm.nih.gov/pubmed/21209737
856			_uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3014845/pdf/CRIM2010-842814.pdf
999			_c76094 _d76094