Steroid Tedavisine Sekonder Gelişen Bilateral Femur Ve Tibiada Yaygın Osteonekroz Pediatrik Olgu

Abstract

Yüksek doz ve uzun süreli sterid kullanımı osteonekroza yol açabilir. Manyetik rezonans görünütleme, tipik bulguları ile, osteonekrozu saptamada en iyi tanı yöntemidir. Bu yazıda 2 yıldır nefrotik sendrom tanısıyla steroid tedavisi görmüş, bilateral diz ağrısı şikayetiyle başvuran 16 yaşındaki erkek hastanın manyetik rezonans incelemesinde bilateral femur ve tibiada izlenen osteonekroz lezyonlarınının tipik bulguları sunulmuştur. Dr. Mehmet Sait DOGAN Dr. Sümeyra DOĞAN Dr. Selim DOĞANAY Dr. Gonca KOÇ Dr. İsmail DURSUN Dr. Abdulhakim COŞKUN

Keywords

• Manyetik rezonans görüntüleme
• steroid
• osteonekroz
• kemik infarktı
• çift çizgi bulgusu.

Steroid-Induced Extensive Bilateral Femoral And Tibial Osteonecrosis:A Pediatric Case

Abstract

High dose or prolonged use of steroids may lead to osteonecrosis. Magnetic resonance imaging is the best diagnostic tool with typical findings to detect osteonecrosis in the early stages. We herein report a 16-year-old male patient who suffered from bilateral knee pain with a history of nephrotic syndrome for 2 years, treated with multiple courses of steroids and discuss typical magnetic resonance findings of bilateral multiple osteonecrosis lesions in both femurs and tibias.

Keywords

• Magnetic resonance imaging
• steroids
• osteonecrosis
• bone infarct
• double line sign

References

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