title: [Coxarthrosis secondary to ischemic necrosis of the femoral head in Cushing's disease].
abstract: The combination of endogenous hypercortisolism and avascular necrosis is rare. A 53-year-old woman suffering from Cushing's disease, whose presenting symptom was hip-joint pain due to osteoarthritis secondary to avascular necrosis of the femoral head is described. About 6 years passed between a remarkable increase in weight and the onset of hip-joint pain. The hip joint was progressively destroyed, and total hip replacement was necessary 7 years after the onset of pain. This case report, as well as several previous reports, shows that avascular necrosis of bone may appear as a rare presenting manifestation of Cushing's disease.
authors.affiliation: Orthopaedic Surgery Department, Shinshu University Medical School, Matsumoto, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: K
authors.initials: K
authors.lastname: Terayama
mesh_terms: D003480:Cushing Syndrome / Q000150:complications*; D005260:Female; D005271:Femur Head Necrosis / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000209:etiology*; D010020:Osteonecrosis / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography
vernacular_title: Coxarthrose secondaire à une nécrose ischémique de la tête fémorale dans le cadre d'une maladie de Cushing.