PDF(Pubmed)
Abstract：
A man in his 20s with a medical history of syphilis, chlamydia and HIV presented to the emergency department (ED) with 2 months of right hip pain and was found to have advanced avascular necrosis (AVN) of the right femoral head with secondary haemorrhage. The patient lacked the common risk factors of AVN in patients with HIV (PWH): ≥10 years of HIV diagnosis, extended duration on highly active antiretroviral therapy, trauma, corticosteroid use, alcohol abuse, systemic lupus erythematosus, obesity, smoking and dyslipidaemia. Given the extensive destructive changes in the hip joint and muscles, a right hip resection arthroplasty was performed, and the patient recovered well postoperatively. This case presents a learning opportunity for understanding bone pathologies in PWH and offers clinical guidance for the management of HIV-infected patients with a focus on optimising bone health.
摘要：
一个20多岁有梅毒病史的男人,衣原体和HIV在急诊科(ED)出现2个月的右髋部疼痛,发现右股骨头晚期无血管坏死(AVN)伴继发性出血.该患者缺乏HIV（PWH）患者中AVN的常见危险因素：HIV诊断≥10年，延长高效抗逆转录病毒治疗的持续时间，创伤,使用皮质类固醇,酗酒,系统性红斑狼疮,肥胖，吸烟和血脂异常.鉴于髋关节和肌肉广泛的破坏性变化，进行了右髋关节切除术，患者术后恢复良好。该病例为了解PWH中的骨骼病理提供了学习机会，并为HIV感染患者的管理提供了临床指导，重点是优化骨骼健康。
