Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)

Intestinal epithelial dysplasia (tufting enteropathy) is an uncommon congenital disorder. Furthermore, its association with chronic inflammatory arthropathy is rarely documented in the literature. Low prevalence rates of 1 in 100,000 live births in Western Europe exist, with higher rates in North Af...

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Main Authors: Colin Ng, Kurt Magri, Ryan Giordmaina, Duncan Whitwell
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/4630759
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author Colin Ng
Kurt Magri
Ryan Giordmaina
Duncan Whitwell
author_facet Colin Ng
Kurt Magri
Ryan Giordmaina
Duncan Whitwell
author_sort Colin Ng
collection DOAJ
description Intestinal epithelial dysplasia (tufting enteropathy) is an uncommon congenital disorder. Furthermore, its association with chronic inflammatory arthropathy is rarely documented in the literature. Low prevalence rates of 1 in 100,000 live births in Western Europe exist, with higher rates in North Africa and Middle Eastern countries. Malta, being a small Mediterranean island at the cusp between Europe and North Africa, has an anecdotal sevenfold prevalence rate. This is the first documented case report of a patient with both intestinal epithelial dysplasia and severe bilateral hip and knee arthropathy that required simultaneous bilateral hip followed by, after a short interval, unilateral knee arthroplasties. Our aim is to highlight the rapid progression of associated arthropathy as well as the successful treatment with joint arthroplasties in such extreme cases. Surgical treatment may be a necessity despite best medical efforts to halt the disease.
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language English
publishDate 2018-01-01
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series Case Reports in Orthopedics
spelling doaj-art-42e2f976f5804b78a9efd60d162cbf0c2025-02-03T01:22:11ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/46307594630759Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)Colin Ng0Kurt Magri1Ryan Giordmaina2Duncan Whitwell3Department of Trauma and Orthopaedics, Mater Dei Hospital, Triq Dun Karm, MSD 2090 Msida, MaltaDepartment of General Medicine, Mater Dei Hospital, Triq Dun Karm, MSD 2090 Msida, MaltaDepartment of Trauma and Orthopaedics, Mater Dei Hospital, Triq Dun Karm, MSD 2090 Msida, MaltaConsultant Orthopaedic Tumour and Reconstructive Surgeon, Nuffield Orthopaedic Hospital, Oxford, UKIntestinal epithelial dysplasia (tufting enteropathy) is an uncommon congenital disorder. Furthermore, its association with chronic inflammatory arthropathy is rarely documented in the literature. Low prevalence rates of 1 in 100,000 live births in Western Europe exist, with higher rates in North Africa and Middle Eastern countries. Malta, being a small Mediterranean island at the cusp between Europe and North Africa, has an anecdotal sevenfold prevalence rate. This is the first documented case report of a patient with both intestinal epithelial dysplasia and severe bilateral hip and knee arthropathy that required simultaneous bilateral hip followed by, after a short interval, unilateral knee arthroplasties. Our aim is to highlight the rapid progression of associated arthropathy as well as the successful treatment with joint arthroplasties in such extreme cases. Surgical treatment may be a necessity despite best medical efforts to halt the disease.http://dx.doi.org/10.1155/2018/4630759
spellingShingle Colin Ng
Kurt Magri
Ryan Giordmaina
Duncan Whitwell
Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)
Case Reports in Orthopedics
title Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)
title_full Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)
title_fullStr Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)
title_full_unstemmed Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)
title_short Bilateral Total Hip and Unilateral Knee Arthroplasties in a Young Adult with Arthropathy-Associated Intestinal Epithelial Dysplasia (Tufting Enteropathy)
title_sort bilateral total hip and unilateral knee arthroplasties in a young adult with arthropathy associated intestinal epithelial dysplasia tufting enteropathy
url http://dx.doi.org/10.1155/2018/4630759
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