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Association between enlarged iliopsoas bursa and hip lesions such as osteoarthritis of the hip or femoral headnecrosis is infrequently seen. Enlarged iliopsoas bursa with a rapidly destructive arthropathy is claimed to beseen only in patients with rheumatoid arthritis. In this paper, we report a patient with a rapidly destructivearthropathy accompanied by an enlarged iliopsoas bursa that has been misdiagnosed as an infection.