Madsen P V, Andersen G
Department of Orthopedic Surgery, Hiørring Sygehus, Denmark.
Gut. 1994 Jan;35(1):132-4. doi: 10.1136/gut.35.1.132.
A case of multifocal steroid related osteonecrosis in a patient with ulcerative colitis is presented. The pathogenesis, diagnosis, natural history, and treatment of the disease is discussed briefly with emphasis on the importance of early diagnosis--preferably by magnetic resonance imaging. Early diagnosis often depends on the gastroenterologist considering the possibility of osteonecrosis.
本文报告了一例溃疡性结肠炎患者发生的多灶性类固醇相关骨坏死病例。简要讨论了该病的发病机制、诊断、自然病程及治疗,重点强调早期诊断的重要性——最好通过磁共振成像进行诊断。早期诊断往往取决于胃肠病学家对骨坏死可能性的考虑。