Gout affecting the hip in a 57-year-old woman: case report

This study reports a case of gouty arthritis in the hip joint in a 57-year-old woman with diabetes and hypertension, with no history of gout, presenting with chronic pain in the right hip. Clinical examination showed obese patient, having painful right limping with lateral hip flexion during walking. Standard radiography objectified osteocondensing formations at the level of the anterior femoral neck. Laboratory tests showed inflammatory syndrome with normal uric acid concentration. Computerised tomography (CT) scan and magnetic resonance imaging (MRI) suggested chondromatosis of the hip. The patient underwent surgical treatment based on complete excision of the friable formation and hip arthrolysis. Bacteria were not isolated during the anatomopathological study which showed gout affecting the hip. The patient received medical treatment based on Colchicine. The patient had complete recovery of flexion, disappearance of limping and satisfactory improvement in hip pain.