title: Osteonecrosis following alcohol, cocaine, and steroid use.
abstract: Alcohol, steroids and cocaine have all been shown to be independent risk factors for osteonecrosis when taken in excess. Here we present a case of a young girl who developed debilitating osteonecrosis secondary to low doses of alcohol, steroids and cocaine. We feel it is important to highlight to those caring for such patients of the potential devastating complication of these three agents.
authors.affiliation: Department of Medicine, South Infirmary-Victoria University Hospital, Cork, Ireland.
authors.forename: Laura
authors.initials: L
authors.lastname: Ziraldo
authors.forename: Mortimer B
authors.initials: MB
authors.lastname: O'Connor
authors.forename: Simon P
authors.initials: SP
authors.lastname: Blake
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Phelan
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000473:pathology*; D000842:Ankle / Q000000981:diagnostic imaging / Q000473:pathology; D019970:Cocaine-Related Disorders / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010020:Osteonecrosis / Q000139:chemically induced* / Q000150:complications / Q000000981:diagnostic imaging; D011859:Radiography; D013256:Steroids / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications / Q000473:pathology*
chemical_list: D013256:Steroids