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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2025; 35(03): 481-484
DOI: 10.1055/s-0045-1802583
Case Report

Imaging Findings in Amyloid Arthropathy of the Hip Joints: The Eyes Cannot See What the Mind Does Not Know

Nitin P. Ghonge 
1   Department of Radiology, Indraprastha Apollo Hospital, New Delhi, India
,
Nidhi Goyal 
1   Department of Radiology, Indraprastha Apollo Hospital, New Delhi, India
,
Tanya Jain
1   Department of Radiology, Indraprastha Apollo Hospital, New Delhi, India
,
Pankaji Baweja
2   Department of Pathology, Indraprastha Apollo Hospital, New Delhi
› Author Affiliations
Funding None.
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Abstract

Amyloid arthropathy is a rare but serious complication in patients with chronic renal failure with a history of prolonged hemodialysis. The underlying pathophysiology is the accumulation of beta-2 microglobulin in intra- and periarticular tissues, with consequent synovial thickening and erosions. Imaging-based diagnosis of amyloid arthropathy allows prompt clinical management and better patient outcomes. In view of vague clinical presentation and uncommon incidence, the radiologist is often the first one to suspect this complication. We hereby describe the case of a 66-year-old man with gradually progressive left hip pain for the past 6 months who was diagnosed to have bilateral amyloid arthropathy and was subsequently confirmed with computed tomography (CT) guided synovial biopsy. Amyloid arthropathy should be considered in patients with hip pain who are on long-term hemodialysis and present with suggestive findings on radiograph, CT, and magnetic resonance studies.

Keywords

amyloid arthropathy - hip joints - imaging findings


Publication History

Article published online:
12 February 2025

© 2025. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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