Three Different Involvements in a Case of Ulcerative Colitis: Bilateral Femoral Head Avascular Necrosis, Spondylodiscitis and Spondyloarthropathy
[LANGUAGE=”English”]Avascular necrosis (AVN) is a serious condition that develops as a result of inadequate blood supply to bone tissue. This condition is usually associated with trauma, long-term steroid use, or systemic diseases. Spondylodiscitis is a serious infection affecting the spinal discs a...
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| Published in | Turkish journal of osteoporosis Vol. 31; no. 2; pp. 113 - 117 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Istanbul
Galenos Publishing House
01.08.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2146-3816 2147-2653 |
| DOI | 10.4274/tod.galenos.2025.24482 |
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| Abstract | [LANGUAGE=”English”]Avascular necrosis (AVN) is a serious condition that develops as a result of inadequate blood supply to bone tissue. This condition is usually associated with trauma, long-term steroid use, or systemic diseases. Spondylodiscitis is a serious infection affecting the spinal discs and vertebral bodies and is usually of bacterial origin. The association of spondylodiscitis and avascular necrosis is rare. In this case report, bilateral femoral head avascular necrosis and spondylodiscitis coexistence in a 53-year-old female patient diagnosed with ulcerative colitis is discussed. This case aims to emphasize the risk of developing AVN and spondylodiscitis in patients with chronic inflammatory disease who receive long-term corticosteroid treatment.[LANGUAGE=”Turkish”]Avasküler nekroz (AVN), kemik dokusunun yetersiz kanlanması sonucu gelişen ciddi bir durumdur. Bu durum genellikle travma, uzun süreli steroid kullanımı veya sistemik hastalıklarla ilişkilidir. Spondilodiskit, omurga diskleri ve vertebra cisimlerini etkileyen ciddi bir enfeksiyon olup genellikle bakteriyel kaynaklıdır. Spondilodiskit ve AVN’nin birlikteliği nadir görülür. Bu olgu sunumunda, ülseratif kolit tanısı olan 53 yaşındaki kadın hastada bilateral femur başı AVN’yi ve spondilodiskit birlikteliği ele alınmıştır. Bu olgu, kronik inflamatuvar hastalığı olan, uzun süreli kortikosteroid tedavisi gören hastalarda AVN ve spondilodiskit gelişme riskinin vurgulanmasını amaçlamaktadır.Anahtar Kelimeler: |
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| AbstractList | Avascular necrosis (AVN) is a serious condition that develops as a result of inadequate blood supply to bone tissue. This condition is usually associated with trauma, long-term steroid use, or systemic diseases. Spondylodiscitis is a serious infection affecting the spinal discs and vertebral bodies and is usually of bacterial origin. The association of spondylodiscitis and avascular necrosis is rare. In this case report, bilateral femoral head avascular necrosis and spondylodiscitis coexistence in a 53-year-old female patient diagnosed with ulcerative colitis is discussed. This case aims to emphasize the risk of developing AVN and spondylodiscitis in patients with chronic inflammatory disease who receive long-term corticosteroid treatment. [LANGUAGE=”English”]Avascular necrosis (AVN) is a serious condition that develops as a result of inadequate blood supply to bone tissue. This condition is usually associated with trauma, long-term steroid use, or systemic diseases. Spondylodiscitis is a serious infection affecting the spinal discs and vertebral bodies and is usually of bacterial origin. The association of spondylodiscitis and avascular necrosis is rare. In this case report, bilateral femoral head avascular necrosis and spondylodiscitis coexistence in a 53-year-old female patient diagnosed with ulcerative colitis is discussed. This case aims to emphasize the risk of developing AVN and spondylodiscitis in patients with chronic inflammatory disease who receive long-term corticosteroid treatment.[LANGUAGE=”Turkish”]Avasküler nekroz (AVN), kemik dokusunun yetersiz kanlanması sonucu gelişen ciddi bir durumdur. Bu durum genellikle travma, uzun süreli steroid kullanımı veya sistemik hastalıklarla ilişkilidir. Spondilodiskit, omurga diskleri ve vertebra cisimlerini etkileyen ciddi bir enfeksiyon olup genellikle bakteriyel kaynaklıdır. Spondilodiskit ve AVN’nin birlikteliği nadir görülür. Bu olgu sunumunda, ülseratif kolit tanısı olan 53 yaşındaki kadın hastada bilateral femur başı AVN’yi ve spondilodiskit birlikteliği ele alınmıştır. Bu olgu, kronik inflamatuvar hastalığı olan, uzun süreli kortikosteroid tedavisi gören hastalarda AVN ve spondilodiskit gelişme riskinin vurgulanmasını amaçlamaktadır.Anahtar Kelimeler: |
| Author | Erdem Sultanoğlu, Tuba Uçar Meydan, Sümeyye |
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| Cites_doi | 10.1016/j.autrev.2010.06.007 10.1016/0002-9343(85)90057-9 10.3238/arztebl.2017.0875 10.1053/sarh.2002.33724b 10.1016/j.bone.2016.02.020 10.3389/fgene.2021.691465 10.1093/jac/dkq303 10.3109/03009749609082669 10.1097/MD.0000000000018585 10.1185/03007995.2012.678939 10.1080/17453670810016641 10.2147/JIR.S281941 10.3389/fimmu.2022.1064245 10.3238/arztebl.2008.0181 10.1007/s100670200078 |
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| References | SB (ref3) 2020; 13 Powell (ref5) 2010; 9 Lai (ref0) 2020; 99 Herren (ref12) 2017; 114 ref14 Koo (ref8) 2002; 21 Yu (ref13) 2021; 12 Zizic (ref6) 1985; 79 Di Martino (ref9) 2012; 28 Zheng (ref4) 2022; 13 Rasker (ref15) 1996; 25 Gouliouris (ref1) 2010; 65 Shibatani (ref7) 2008; 79 Sobottke (ref11) 2008; 105 Assouline-Dayan (ref2) 2002; 32 Loi (ref10) 2016; 86 |
| References_xml | – volume: 9 start-page: 721 year: 2010 ident: ref5 article-title: Steroid induced osteonecrosis: An analysis of steroid dosing risk publication-title: Autoimmun Rev doi: 10.1016/j.autrev.2010.06.007 – volume: 79 start-page: 596 year: 1985 ident: ref6 article-title: Corticosteroid therapy associated with ischemic necrosis of bone in systemic lupus erythematosus publication-title: Am J Med doi: 10.1016/0002-9343(85)90057-9 – volume: 114 start-page: 875 year: 2017 ident: ref12 article-title: Spondylodiscitis: diagnosis and treatment options publication-title: Dtsch Arztebl Int doi: 10.3238/arztebl.2017.0875 – volume: 32 start-page: 94 year: 2002 ident: ref2 article-title: Pathogenesis and natural history of osteonecrosis publication-title: Semin Arthritis Rheum doi: 10.1053/sarh.2002.33724b – volume: 86 start-page: 119 year: 2016 ident: ref10 article-title: Inflammation, fracture and bone repair publication-title: Bone doi: 10.1016/j.bone.2016.02.020 – volume: 12 start-page: 691465 year: 2021 ident: ref13 article-title: Arg2, Map4k5 and Tsta3 as diagnostic markers of steroid-induced osteonecrosis of the femoral head and their correlation with immune infiltration publication-title: Front Genet doi: 10.3389/fgene.2021.691465 – volume: 65 start-page: 11 year: 2010 ident: ref1 article-title: Spondylodiscitis: update on diagnosis and management publication-title: J Antimicrob Chemother doi: 10.1093/jac/dkq303 – volume: 25 start-page: 52 year: 1996 ident: ref15 article-title: Spondylodiscitis in ankylosing spondylitis, inflammation or trauma? A description of six cases publication-title: Scand J Rheumatol doi: 10.3109/03009749609082669 – volume: 99 start-page: 18585 year: 2020 ident: ref0 article-title: Evaluating the association between avascular necrosis of femoral head and oral corticosteroids use in Taiwan publication-title: Medicine doi: 10.1097/MD.0000000000018585 – volume: 28 start-page: 689 year: 2012 ident: ref9 article-title: Spondylodiscitis: standards of current treatment publication-title: Curr Med Res Opin doi: 10.1185/03007995.2012.678939 – volume: 79 start-page: 631 year: 2008 ident: ref7 article-title: Degree of corticosteroid treatment within the first 2 months of renal transplantation has a strong influence on the incidence of osteonecrosis of the femoral head publication-title: Acta Orthop doi: 10.1080/17453670810016641 – volume: 13 start-page: 913 year: 2020 ident: ref3 article-title: Inflammation, bone healing and osteonecrosis: From bedside to bench publication-title: J Inflammation Res doi: 10.2147/JIR.S281941 – volume: 13 start-page: 1064245 year: 2022 ident: ref4 article-title: The role of immune cells in modulating chronic inflammation and osteonecrosis publication-title: Front Immunol doi: 10.3389/fimmu.2022.1064245 – volume: 105 start-page: 181 year: 2008 ident: ref11 article-title: Current diagnosis and treatment of spondylodiscitis publication-title: Dtsch Arztebl Int doi: 10.3238/arztebl.2008.0181 – volume: 21 start-page: 299 year: 2002 ident: ref8 article-title: Risk period for developing osteonecrosis of the femoral head in patients on steroid treatment publication-title: Clin Rheumatol doi: 10.1007/s100670200078 – ident: ref14 |
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| SubjectTerms | avascular necrosis Bones Case reports corticosteroid inflammation Inflammatory bowel disease Inflammatory diseases Necrosis osteoimmunology spondyloarthropathy spondylodiscitis Steroids Systemic diseases Vertebrae |
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| Title | Three Different Involvements in a Case of Ulcerative Colitis: Bilateral Femoral Head Avascular Necrosis, Spondylodiscitis and Spondyloarthropathy |
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