Bilateral Total Hip Arthroplasty in a Rare Case of Multicentric Reticulohistiocytosis

Saibaba, Balaji; Sen, Ramesh Kumar; Das, Ashim; Sharma, Aman

doi:10.4055/cios.2015.7.4.509

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…Thereafter, we decided on surgical treatment. However, surgical treatment seems to have been rarely reported previously in the literature [9,10]. In the case of surgery, we would mention the need to evaluate intraosseous geodes or the bone defect by CT and MRI as well as an X-ray preoperatively [11].…”

Section: Discussionmentioning

confidence: 99%

Surgery for Multicentric Reticulohistiocytosis Associated with Arthritis Mutilans: A Case Report with 26-Years' Follow-up

Kanazawa¹,

Hara²,

Maruyama³

et al. 2018

Clin Surg

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We describe a case of Multicentric Reticulohistiocytosis (MR), followed-up for 26 years after diagnosis, which required numerous surgeries involving revision. A 36-year-old woman visited our institution because of distal interphalangeal joint (DIPJ) pain, deformity of the bilateral little fingers, and papulo-nodular cutaneous lesions on both hands. Between 1995 to 2003 arthrodesis of the bilateral thumb, index, middle, ring and little DIPJs were essential. After that, several re-surgeries were needed because of backout of temporary K-wires at the time of follow-up. Furthermore, we performed arthroplasty of the bilateral index, middle, ring proximal interphalangeal (PIP), left thumb metacarpophalangeal joints (MPJs), and right knee joint in 2007 to 2014. Similar, left total knee arthroplasty (TKA) and bilateral total hip arthroplasty (THA) were performed in 2013 to 2016. Postoperative four years after right TKA, aseptic loosening of the tibia and patellar component was gradually recognized. Therefore, we performed revision TKA using long-stemmed augments on the tibial component. The patellar components were removed and we performed patelloplasty only because the height of the remaining patella was thin. The patient was able to walk without a t-cane one year postoperatively. During consecutive follow-up, we experienced some of complications such as the backout of temporary K-wires or nonunion and bone absorption after arthrodesis, and experienced early aseptic loosening after arthroplasty. Therefore, additional surgeries included reinternal fixation or revision arthroplasty were necessary. Postoperatively, surgeons must carefully consider specific bone absorption around the prosthesis or joint in this rare disease.

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Section: Discussionmentioning

confidence: 99%

Surgery for Multicentric Reticulohistiocytosis Associated with Arthritis Mutilans: A Case Report with 26-Years' Follow-up

Kanazawa¹,

Hara²,

Maruyama³

et al. 2018

Clin Surg

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“…Without prompt and effective treatment, this destruction of the proximal interphalangeal and distal interphalangeal joints may result in “opera-glass hand”[ 1 ]. It has also been reported that some patients with severe hip destruction require hip arthroplasty[ 7 ]. Therefore, X-ray examination can play an important role in the early detection of MRH and in the screening of MRH from other types of arthritis.…”

Section: Discussionmentioning

confidence: 99%

Multicentric reticulohistiocytosis with prominent skin lesions and arthritis: A case report

Xu¹,

Liang²,

Liu³

et al. 2022

WJCC

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BACKGROUND Multicentric reticulohistiocytosis (MRH) is a rare non-Langerhans histiocytosis of unknown etiology characterized by papulonodular skin lesions and progressive, erosive arthritis. To date, there have been approximately 300 cases of MRH reported worldwide. The majority of patients are Caucasian from western countries, and Asian patients are rare. Here, we report a case of MRH in a Chinese patient. CASE SUMMARY A 38-year-old male was admitted to the hospital with a rash that had persisted for over 2 years and bilateral knee pain for over 1 year. The patient’s symptoms had previously been misdiagnosed as eczema when there were only skin symptoms and was finally diagnosed as MRH after a skin biopsy of the left upper back. The patient was treated with glucocorticoids combined with an immunosuppressive regimen. While the skin lesions on both arms, abdomen, and back subsided, the skin lesions on the rest of the body did not increase. The interphalangeal joints of both thumbs and bilateral knee joints remained swollen and painful. CONCLUSION The case will help clinicians better identify and treat this disease in the absence of epidemiological studies or randomized controlled data.

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“…Left untreated, MRH progresses along a classic rheumatologic course characterized by a symmetric and erosive polyarthritis that eventually subsides. The result is typically permanent post-inflammatory joint hypertrophy and loss of function [12].…”

Section: A B Cmentioning

confidence: 99%

Multicentric reticulohistiocytosis masquerading as cutaneous connective tissue disease

Fronek¹,

Bindernagel²,

Segars³

et al. 2021

Dermatology Online Journal

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Bilateral Total Hip Arthroplasty in a Rare Case of Multicentric Reticulohistiocytosis

Cited by 5 publications

References 9 publications

Surgery for Multicentric Reticulohistiocytosis Associated with Arthritis Mutilans: A Case Report with 26-Years' Follow-up

Surgery for Multicentric Reticulohistiocytosis Associated with Arthritis Mutilans: A Case Report with 26-Years' Follow-up

Multicentric reticulohistiocytosis with prominent skin lesions and arthritis: A case report

Multicentric reticulohistiocytosis masquerading as cutaneous connective tissue disease

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