Spontaneous bilateral avascular necrosis of knees and hip leading to early bilateral total hip arthroplasty: a case report of an 18-year-old man recently diagnosed with Crohn's disease

被引：0

作者：

Khanmirzaei, Amir ^{[1
]}

Jazi, Kimia ^{[2
,3
]}

Azarinoush, Gelareh ^{[2
]}

Shirmohammadi, Maryam ^{[2
,3
]}

Karimtabar, Hajar ^{[4
]}

Modarres, Mehdi Pezeshgi ^{[5
]}

Masoumi, Maryam ^{[1
,2
]}

机构：

[1] Shahroud Univ Med Sci, Fac Med, Shahroud, Iran

[2] Qom Univ Med Sci, Shahid Beheshti Hosp, Clin Res Dev Unit, Qom, Iran

[3] Qom Med Univ, Student Res Comm, Fac Med, Qom, Iran

[4] Qom Univ Med Sci, Student Res Comm, Fac Nursing & Midwifery, Qom, Iran

[5] Qom Univ Med Sci, Gastroenterol & Hepatol Dis Res Ctr, Qom, Iran

来源：

CLINICAL JOURNAL OF GASTROENTEROLOGY | 2024年 / 17卷 / 04期

关键词：

Crohn's disease; Osteonecrosis; Avascular necrosis; Inflammatory bowel disease; Lower back pain; OSTEONECROSIS;

D O I：

10.1007/s12328-024-01987-y

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Avascular necrosis (AVN) is linked to considerable morbidity, resulting in severe pain and functional impairment. Herein, for the first time, we reported an 18-year-old patient with Crohn's disease during the remission phase under Azathioprine therapy who presented with articular pain. Although no underlying risk factors, the patient was diagnosed with severe AVN of the bilateral femoral head and both knees simultaneously following pain in involved areas. This case highlights the importance of demand multidisciplinary approach to chronic disease. Moreover, clinicians should be aware of articular manifestations in IBD patients to diagnose and treat these conditions as soon as possible. Patients should be evaluated for their psychologic, gastrointestinal, and extra-gastrointestinal comorbidities during each follow-up visit.

引用

页码：663 / 670

页数：8

共 20 条

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