Rapidly progressive ochronotic destructive hip arthropathy misdiagnosed as tuberculosis

Rapidly progressive destructive hip arthropathy due to ochronosis is a rare entity about which most of the average orthopaedic surgeons are unaware of. In a developing country like India, such rapidly progressive hip destruction is seen in the far more commonly in tuberculosis of the hip. We present one such case which was misdiagnosed and treated as tuberculosis in an attempt to increase the awareness of ochronosis amongst the orthopaedic surgeons. We also briefly review the literature and discuss the management principles in such a rare diagnosis.