Avascular Necrosis of the Foot and Ankle in a Patient with Systemic Sclerosis: A Case Based Review
https://doi.org/10.14412/1996-7012-2021-1-94-97
Abstract
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.
About the Authors
H. Wastyn
KU Leuven
Belgium
Belgium
Heline Wastyn
Medical Student, Faculty of Medicine
Preshoekstraat 33, 8930 Lauwe, Belgium
M. Leys
AZ Groeninge Kortrijk
Belgium
Belgium
Mathias Leys, M.D.
Department of Pneumology
F. Michels
AZ Groeninge Kortrijk
Belgium
Belgium
Frederick Michels, M.D.
Department of Pneumology
A.-L. Deleu
AZ Groeninge Kortrijk
Belgium
Belgium
Anne-Leen Deleu, M.D.
Resident in Department of Nuclear Medicine
E. Vereecke
Kulak Kortrijk Campus
Belgium
Belgium
Evie Vereecke, prof.
Department of Development and Regeneration
G. Matricali
University Hospitals Leuven;
KU Leuven;
Institute of Orthopaedic Research & Training (IORT)
Belgium
Belgium
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
Belgium
Belgium
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
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Review
For citations:
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. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2021;15(1):94-97. https://doi.org/10.14412/1996-7012-2021-1-94-97
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