Bilateral osteonecrosis of the femoral heads in a patient with systemic lupus erythematosus

Lawal, YZ; Ogirima, MO; Dahiru, I L; Maitama, MI; Ejagwulu, F S; Abubakar, K

doi:10.4103/1596-3519.76594

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Bilateral osteonecrosis of the femurs is exceptional [6,7]. It is particularly reported in systemic lupus erythematosus and sickle cell disease [6,8,9] and appears to be favored by prolonged systemic corticosteroid therapy and the presence of antiphospholipid antibodies [6,7,10].…”

Section: Discussionmentioning

confidence: 99%

Bilateral distal femoral bone infarction revealing polymyositis

Bouomrani¹,

Ayed²

2019

Int Med

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Orthopedic manifestations, particularly bone infarctions, remain exceptional and unusual during polymyositis. They are classically related to systemic corticosteroids or other associated thrombotic conditions. We report an original observation of bilateral distal femoral bone infarction revealing polymyositis in a 42-year-old woman. Our observation is, to the best of our knowledge, the first to report bilateral femoral infarction as a possible manifestation of polymyositis apart from any prolonged corticosteroid therapy and any associated anti-phospholipid antibody syndrome.

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Section: Discussionmentioning

confidence: 99%

Bilateral distal femoral bone infarction revealing polymyositis

Bouomrani¹,

Ayed²

2019

Int Med

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“…Primarily, they are employed for short-term use or as temporizing therapy until definitive surgical intervention is achieved. 9 Recently, longer term use of these agents is gaining support in chronic degenerative conditions. 10 Properly used, opiates may improve function.…”

Section: Justificationmentioning

confidence: 99%

Narcotics in Rheumatology

Tehrani

Aguiar

Katz

2013

Health�Serv�Insights

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Patients with rheumatic conditions often suffer from related chronic pain. When first-line traditional medications such as acetaminophen and anti-inflammatory medications do not suffice, then other options are needed. The traditional medications may ultimately not provide sufficient pain relief, or alternatively, they can pose as a contraindication due to underlying hypertension, renal, and/or hepatic disease. Therefore, narcotics are an alluring alternative, which if used in a multidisciplinary and systematic approach to the patient, can prove to be quite beneficial in the lives of these patients.

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“…O paciente relata dor, rigidez e apresenta inflamação articular com inicio insidioso ou agudo. Além destas a mialgia e/ou miosite também podem ocorrer em pacientes com LES, nos quais a queixa será de dor e fraqueza na musculatura (Andreoli, Bennett et al 1994;Carvalho, Xavier et al 2001;Lawal, Ogirima et al 2011).…”

Section: Manifestações Musculoesqueléticasunclassified

Avaliação do comprometimento respiratório por meio do teste de caminhada de seis minutos em pacientes com lúpus eritematoso sistêmico

Leite¹,

Paschoal²

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Bilateral osteonecrosis of the femoral heads in a patient with systemic lupus erythematosus

Abstract: His random blood sugar was 9.0 mmol/dl. His urea and electrolytes were normal and there were no raised hepatic transaminases.

Cited by 4 publications

References 4 publications

Bilateral distal femoral bone infarction revealing polymyositis

Bilateral distal femoral bone infarction revealing polymyositis

Narcotics in Rheumatology

Avaliação do comprometimento respiratório por meio do teste de caminhada de seis minutos em pacientes com lúpus eritematoso sistêmico

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