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Who Is the Convict; Covid-19 or Corticosteroid? Late Onset Avascular Necrosis of Hips After Covid-19. a Case Report With Literature Review Publisher Pubmed



Nejadhosseinian M1, 2 ; Haerian H2 ; Tabatabaienejad M2 ; Sadeghi K3 ; Aghaghazvini L4 ; Alikhani M2 ; Loghman M2 ; Faezi ST2
Authors
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Authors Affiliations
  1. 1. Joint Reconstruction Research Center, Tehran University of Medical Science, Tehran, Iran
  2. 2. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Rheumatic Diseases Published:2023


Abstract

Aim: Avascular necrosis (AVN) or osteonecrosis is characterized by death of bone tissue due to endothelial damage and vascular abnormality. Coronavirus can induce endothelial damage and abnormal blood clotting, so that COVID-19 is known as a vascular disease. We aim to evaluate the relationship between AVN and COVID-19. Case: Here we present a 39-year old man with severe COVID-19 and corticosteroid consumption who developed late onset AVN of both hips 20 month after COVID-19. Conclusion: An awareness of the possible osteonecrosis for all physicians dealing with patients with musculoskeletal problems following COVID-19 is necessary. © 2023 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.
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