title: Laminar periostitis and multiple osteonecrosis in systemic lupus erythematosus.
abstract: Bone affectation in systemic lupus erythematosus (SLE) is caused both by the disease itself and by the treatment used. We report the case of a woman diagnosed of SLE, who, in the course of her illness, develops multiple aseptic osteonecrosis (AON) and laminar periostitis, radiologically compatible with the diagnosis of hypertrophic osteoarthropathy (HOA), with no evidence of acropaquia. In this case, the patient shows all the risk factors involved in the pathogenesis of the development of ischemia in bone microcirculation.
authors.affiliation: Rheumatology Section, Juan Canalejo Hospital, La Coruña, Spain.
authors.forename: J S
authors.initials: JS
authors.lastname: Burson
authors.forename: J
authors.initials: J
authors.lastname: Graña
authors.forename: J
authors.initials: J
authors.lastname: Varela
authors.forename: A
authors.initials: A
authors.lastname: Atanes
authors.forename: F
authors.initials: F
authors.lastname: Galdo
mesh_terms: D000328:Adult; D001842:Bone and Bones / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007866:Leg; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000175:diagnosis; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D010522:Periostitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012698:Serologic Tests