Avascular Necrosis of the Metacarpals in Juvenile Dermatomyositis

被引：12

作者：

Robinson, Angela Byun ^{[1
]}

Rabinovich, C. Egla ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Div Pediat Rheumatol, Durham, NC 27710 USA

来源：

JCR-JOURNAL OF CLINICAL RHEUMATOLOGY | 2010年 / 16卷 / 05期

关键词：

avascular necrosis; juvenile dermatomyositis; corticosteroids; metacarpals; SYSTEMIC LUPUS-ERYTHEMATOSUS; IDIOPATHIC OSTEONECROSIS; 3RD METACARPAL; HEAD; PATIENT; BONE;

D O I：

10.1097/RHU.0b013e3181e9345d

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Avascular necrosis (AVN) of the metacarpal heads is uncommon and has been associated with trauma, systemic lupus erythematosus, and corticosteroid usage. There have been no previous reports of metacarpal AVN described in patients with juvenile dermatomyositis. Descriptions of AVN in juvenile dermatomyositis are rare. We present 2 cases of patients with juvenile dermatomyositis who developed multifocal avascular necrosis after corticosteroid therapy with unusual distribution and review the literature on metacarpal AVN.

引用

页码：233 / 236

页数：4

共 27 条

[1] AVASCULAR NECROSIS OF METACARPAL HEADS FOLLOWING RENAL-TRANSPLANTATION [J].

ALKUTOUBI, MA .

BRITISH JOURNAL OF RADIOLOGY, 1982, 55 (649) :79-80

[2]

Barnes NA, 2000, EUR J RADIOL, V36, P115

[3] Osteonecrosis of the metacarpal head in a patient with a prothrombin 20210A gene mutation [J].

Björkman, A ;

Jörgsholm, P ;

Burtscher, IM .

SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY, 2005, 39 (06) :379-381

[4] The use of bisphosphonate in the treatment of avascular necrosis: a systematic review [J].

Cardozo, Juliana Bahia ;

Andrade, Debora Motta S. ;

Santiago, Mittermayer B. .

CLINICAL RHEUMATOLOGY, 2008, 27 (06) :685-688

[5] Idiopathic osteonecrosis of the second metacarpal head detected on bone scintigraphy [J].

Cermik, TF ;

Firat, MF .

CLINICAL NUCLEAR MEDICINE, 2004, 29 (10) :631-632

[6] OSTEONECROSIS AT MULTIPLE SITES IN A PATIENT WITH SYSTEMIC LUPUS-ERYTHEMATOSUS [J].

DARLINGTON, LG .

ANNALS OF THE RHEUMATIC DISEASES, 1985, 44 (01) :65-66

[7] Avascular necrosis of the metacarpal head [J].

De Smet, L .

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1998, 23B (04) :552-554

[8]

Dieterich H., 1932, ARCH KLIN CHIR, V171, P555

[9]

Egloff D V, 1993, Ann Chir Main Memb Super, V12, P68

[10]

Futami T, 1995, J W PAC ORTHOP ASS, V29, P95

← 1 2 3 →