‹nmeli Hastalarda Yaflflam Kalitesini Etkileyen ... - FTR Dergisi
‹nmeli Hastalarda Yaflflam Kalitesini Etkileyen ... - FTR Dergisi
‹nmeli Hastalarda Yaflflam Kalitesini Etkileyen ... - FTR Dergisi
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F-003<br />
Kaybolan Kalçalar<br />
Levent Özgönenel, Nil Ça¤lar Say›ner<br />
S.B. ‹stanbul E¤itim ve Araflt›rma Hastanesi Fiziksel T›p ve Rehabilitasyon Klini¤i,‹stanbul<br />
‹mmünglobulin A nefropatisi sebebiyle yirmidokuz ay steroid tedavisi gören hastada tedavisi<br />
s›ras›nda aspergilloza ba¤l› lomber spondilodiskit geliflmesi üzerine steroid tedavisi kesilip<br />
antifungal tedavi uygulan›p endoskopik diskektomi uygulanm›flt›r. ‹lk görüntüde o dönemki<br />
pelvik grafi normal gözükürken spondilodiskitten onalt› ay sonra yürüme güçlü¤ü sebebiyle<br />
çekilen grafide avasküler nekroza ba¤l› bilateral kaybolan kalça grafisi gözükmektedir.<br />
Anahtar Kelimeler: Kaybolan kalçalar, osteonekroz, steroid<br />
154<br />
23. Ulusal Fiziksel T›p ve Rehabilitasyon Kongresi / 23 rd National Physical Medicine & Rehabilitation Congress<br />
Türk Fiz Rehab Derg 2011:57Özel Say›; 1-334 /Turk J Phys Med Rehab 2011:57Suppl; 1-334<br />
F-003<br />
Vanishing Hips<br />
Levent Özgönenel, Nil Ça¤lar Say›ner<br />
Department of Physical Medicine and Rehabilitation, Istanbul<br />
Training and Research Hospital, Istanbul<br />
A 48-year-old woman with a history of IgA nephropathy had been treated with steroids<br />
for a total of 29 months. The patient developed lumbar spondylodiscitis secondary to<br />
aspergillosis after three years of treatment. The pelvic radiograph showed normal findings<br />
at the time. Steroid therapy was halted at this point, and the patient was treated with<br />
antifungal therapy and underwent endoscopic discectomy. The patient received<br />
postoperative physical rehabilitation for 6 months to improve her walking difficulty;<br />
however, 10 months after the diagnosis of spondylodiskitis, the patient developed difficulty in<br />
walking. Pelvic radiographs at this time showed vanishing of the femoral head and<br />
neck bilaterally due to osteonecrosis. This case demonstrated that severe and bilateral<br />
steroid-induced osteonecrosis could occur even after cessation of steroid therapy, especially<br />
in patients with autoimmune diseases.<br />
Keywords: Vanishing hips, osteonecrosis, steroid
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