Avascular Necrosis of the Foot and Ankle in a Patient with Systemic Sclerosis: A Case Based Review
Аннотация
This review describes a case of atraumatic avascular necrosis in the foot and ankle in a patient with systemic sclerosis who did not receive corticosteroid therapy. Both avascular necrosis and systemic sclerosis are uncommon disease entities. This case demonstrates that vasculitis and secondary vasoconstriction in the pathogenesis of systemic sclerosis are important risk factors for the development of avascular necrosis of the foot and ankle. Therefore, if these patients develop chronic foot and ankle pain, avascular necrosis should be included in the differential diagnosis, even if they do not receive corticosteroids. For the diagnosis and follow-up of avascular necrosis MRI remains the gold standard. Thus, MRI should be used to diagnose avascular necrosis in an early stage. Level of Clinical Evidence: 4.
Об авторах
H. Wastyn
KU Leuven
Бельгия
Бельгия
Heline Wastyn
Medical Student, Faculty of Medicine
Preshoekstraat 33, 8930 Lauwe, Belgium
М. Leys
AZ Groeninge Kortrijk
Бельгия
Бельгия
Mathias Leys, M.D.
Department of Pneumology
F. Michels
AZ Groeninge Kortrijk
Бельгия
Бельгия
Frederick Michels, M.D.
Department of Orthopedics and Traumatology
А.-L. Deleu
AZ Groeninge Kortrijk
Бельгия
Бельгия
Anne-Leen Deleu, M.D.
Resident in Department of Nuclear Medicine
Е. Vereecke
Kulak Kortrijk Campus
Бельгия
Бельгия
Evie Vereecke, prof.
Department of Development and Regeneration
G. Matricali
University Hospitals Leuven;
KU Leuven;
Institute of Orthopaedic Research & Training (IORT)
Бельгия
Бельгия
Giovanni Matricali, prof., M.D., PhD
Department of Orthopedic Surgery University Hospitals Leuven
Department of Development and Regeneration, KU Leuven
Leuven, Heverlee
S. Clockaerts
AZ Sint-Maarten Mechelen;
KU Leuven
Бельгия
Бельгия
Stefan Clockaerts, M.D.
Foot and Ankle Unit, Department of Orthopedics and Traumatology, AZ Sint-Maarten Mechelen
Tissue Homeostasis and Disease, Skeletal Biology and Engineering Research Center, KU Leuven
Литература
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Для цитирования:
Wastyn H., Leys М., Michels F., Deleu А., Vereecke Е., Matricali G., Clockaerts S. Avascular Necrosis of the Foot and Ankle in a Patient with Systemic Sclerosis: A Case Based Review. Современная ревматология. 2021;15(1):94-97. https://doi.org/10.14412/1996-7012-2021-1-94-97
For citation:
Wastyn H., Leys M., Michels F., Deleu A., Vereecke E., Matricali G., Clockaerts S. Avascular Necrosis of the Foot and Ankle in a Patient with Systemic Sclerosis: A Case Based Review. Modern Rheumatology Journal. 2021;15(1):94-97. https://doi.org/10.14412/1996-7012-2021-1-94-97
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