Systemic Lupus Erythematosus Has in Medicine / Internal Medicine — 30yo Woman | Rheumatology | SMLE Q#12459

SMLE Question #12459

Medicine / Internal Medicine Rheumatology

Objective: OBJ-383

Last updated: February 2026
A 30-year-old woman with systemic lupus erythematosus has 3 weeks of progressive right hip/groin pain worsened by weight-bearing. She has been taking hydroxychloroquine, azathioprine, and oral prednisolone for 5 years. She has a mildly antalgic gait and pain with internal rotation of the right hip, without joint swelling or erythema. Plain radiographs of the hip are normal. Which of the following is the most likely cause of her hip pain?

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