腸恥滑液包炎により大腿神経障害を生じた関節リウマチの一例

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We herein report the case of a 65-year-old man who suffered from femoral nerve palsy which was caused by iliopectineal bursitis associated with rheumatoid arthritis. Neurological symptoms in the lower limb and coxalgia were identified during the initial visit, and the magnetic resonance imaging findings revealed both a lumbar lesion and a hip lesion (iliopectineal bursitis). The cyst was therefore punctured, and this relieved the femoral pain, and thereafter the femoral palsy also gradually disappeared after performing total hip arthroplasty. We identified the iliopectineal bursitis as the culprit lesion, even though iliopectineal bursitis was not confirmed at surgery. No recurrence of the bursitis has been observed in this patient after surgery.
日本関節病学会の論文