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皮质类固醇替代治疗并发的骨缺血性坏死。

Avascular necrosis of bone complicating corticosteroid replacement therapy.

作者信息

Williams P L, Corbett M

出版信息

Ann Rheum Dis. 1983 Jun;42(3):276-9. doi: 10.1136/ard.42.3.276.

DOI:10.1136/ard.42.3.276
PMID:6859959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1001130/
Abstract

Two patients who developed widespread severe avascular necrosis of bone while on steroid replacement therapy are described. One, a diabetic, underwent yttrium-90 pituitary ablation for retinopathy and developed avascular necrosis within 18 months of starting prednisolone. The other, who had Addison's disease, developed avascular necrosis within 14 months of starting cortisol replacement therapy. Both cases came to bilateral total hip replacement.

摘要

本文描述了两名在接受类固醇替代治疗期间发生广泛严重骨缺血性坏死的患者。其中一名糖尿病患者因视网膜病变接受了钇-90垂体消融术,并在开始使用泼尼松龙后的18个月内发生了骨缺血性坏死。另一名患有艾迪生病的患者在开始皮质醇替代治疗后的14个月内发生了骨缺血性坏死。两例均接受了双侧全髋关节置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c1/1001130/c670a69a49f6/annrheumd00117-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c1/1001130/e9263611cc1f/annrheumd00117-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c1/1001130/c670a69a49f6/annrheumd00117-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c1/1001130/e9263611cc1f/annrheumd00117-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c1/1001130/c670a69a49f6/annrheumd00117-0046-a.jpg

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1
Avascular necrosis of bone complicating corticosteroid replacement therapy.皮质类固醇替代治疗并发的骨缺血性坏死。
Ann Rheum Dis. 1983 Jun;42(3):276-9. doi: 10.1136/ard.42.3.276.
2
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引用本文的文献

1
Bilateral Femoral Head Avascular Necrosis with Physiological Doses of Steroids.双侧股骨头缺血性坏死与生理剂量的类固醇
Indian J Endocrinol Metab. 2018 Sep-Oct;22(5):710-711. doi: 10.4103/ijem.IJEM_97_18.
2
Steroid induced osteonecrosis: An analysis of steroid dosing risk.类固醇诱导性骨坏死:类固醇剂量风险分析。
Autoimmun Rev. 2010 Sep;9(11):721-43. doi: 10.1016/j.autrev.2010.06.007. Epub 2010 Jul 9.
3
[Aseptic necrosis of the femoral head in young adults].[青壮年股骨头无菌性坏死]

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Experience with steroid-induced avascular necrosis of the shoulder and etiologic considerations regarding osteonecrosis of the hip.类固醇诱导的肩部缺血性坏死的经验及关于髋部骨坏死的病因学考量
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