Bilateral whirlbone necrosis in a young multiple sclerosis patient.
A case of avascular necrosis of whirlbone in a young man affected by multiple sclerosis and treated with high doses of corticosteroids is described. The authors discuss the causes of this collateral effect underlining the risks of underevaluating the symptoms.
Galiè
Edvina
E
Division of Neurology, Istituto Nazionale Tumori Regina Elena, Via Chianesi 53, 00144 Rome, Italy. galie@ifo.it
Jandolo
Bruno
B
D000328:Adult; D001623:Betamethasone / Q000009:adverse effects / Q000627:therapeutic use; D003366:Cosyntropin / Q000009:adverse effects / Q000627:therapeutic use; D005271:Femur Head Necrosis / Q000139:chemically induced*; D005938:Glucocorticoids / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects / Q000627:therapeutic use; D009103:Multiple Sclerosis / Q000150:complications / Q000188:drug therapy*
D005938:Glucocorticoids; D003366:Cosyntropin; D001623:Betamethasone; D008775:Methylprednisolone