This X-ray of the Pelvis belongs to a 33-year-old man. He was diagnosed to have Rheumatoid Arthritis 2 years ago but was not managed properly. He was only treated with steroids and pain killers by many doctors. He came to see me with pain over the left hip and inability to walk properly over the last few months. This X-ray shows a severe destruction of the left hip-joint with eroded acetabulum, making the hip-joint to protrude into the pelvis. We call this condition as Petrusio acetabulum.
I feel sad for this man as nothing much can be done for the damage that has already occurred. A difficult total hip replacement is possible but he is too young for this to be done unless the pain is unbearable.
- Petrusio Acetabulae in Rheumatoid Arthritis
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Dear Dr Pagavalan,
I would be grateful if you could tell which clinical practise guidelines for rheumatoid arthritis and SLE that are helpful for Malaysian physicians to follow.
There is no clinical practise guideline for these diseases as these diseases presents differently in each individual and the prognosis is also very much individualised. No 2 SLE patients are the same and thus it is very diffixult to come up with a guideline. We do have Gout management guideline.