A case of bilateral macrocystic hip disease in a 51-year-old male is r
eported. Nonsteroidal antiinflammatory agents were effective initially
. Other symptoms included heel pain and intermittent anterior chest pa
in, leading to the diagnosis of spondyloarthropathy. This unusual form
of hip disease may be due to a postinflammatory osteoarthritic proces
s and is generally severe, requiring hip replacement surgery.