雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Crohn's Disease Complicated by Femoral Head Necrosis Twenty Years After Onset, Report of a Case Seiji Shimizu 1 , Nobuyuki Sugata 1 , Hirotomo Ohtsuka 1 , Masahiro Tada 2 1Department of Gastroenterology, Kyoto First Red Cross Hospital 2Department of Gastroenterology, Kyoto Cancer Society Keyword: Crohn病 , ステロイド療法 , 関節炎 , 大腿骨頭壊死 pp.1313-1318
Published Date 1999/9/25
DOI https://doi.org/10.11477/mf.1403102829
  • Abstract
  • Look Inside

 A case of 39-year-old female with Crohn's disease who developed femoral head necrosis was reported. She had been treated for Crohn's disease for twenty years. Two years after ileocecal and ileal resection had been performed, the patient continued to receive parentral nutrition. She was admitted again due to nausea and vomiting, abdominal pain and high fever. Steroid treatment was initiated, followed by amelioration of symptoms. Right coxalgia, however, developed during reduction of steroid dose. Plain x-ray and MRI were normal, and a diagnosis was made of Crohn's disease-associated arthritis. Since a non-steroidal anti-inflammatory drug was ineffective, the dose of steroid was increased again. Right coxalgia disappeared, and an attempt was made to gradually reduce the steroid dose. This time, left coxalgia developed, which was exacerbated following a fall. Plain x-ray and MRI revealed deformity and extensive necrosis of the left femoral head; prosthetic replacement was carried out.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有