International Journal of Health Sciences and Research

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Case Report

Year: 2017 | Month: Aug | Volume: 7 | Issue: 8 | Pages: 479-483

Nail Patella Syndrome with Secondary Osteoarthritis of Hip - A Rare Case Report

Dr. Saranya C1, Dr. Saravanan M2, Dr. Rajeswari. S3

1D.M. Postgraduate in Rheumatology, 2Assistant Professor, 3Director& Head,
Institute of Rheumatology, Madras Medical College & Rajiv Gandhi Government General Hospital, Chennai

Corresponding Author: Dr. Saranya C


Nail-patella syndrome (NPS) or Hereditary onycho-osteodystrophy is a rare autosomal dominant condition characterised by skeletal and nail abnormalities and frequently renal involvement. Our patient presented with both hip and knee pain and on examination, he had features of nail dystrophy, hypoplastic patellae and hip arthritis. Radiological evaluation showed prominent iliac horns, femoral head abnormalities with early osteoarthritis of both hips. He responded with symptomatic therapy. Secondary osteoarthritis of hip joint due to structural abnormalities of femoral head was quite unusual in Nail-patella syndrome, hence this case was reported.

Key words: Nail-patella syndrome, nail dystrophy, hypoplastic patellae, prominent iliac horns.

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