Journal
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
Volume 16, Issue 5, Pages 233-236Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RHU.0b013e3181e9345d
Keywords
avascular necrosis; juvenile dermatomyositis; corticosteroids; metacarpals
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Avascular necrosis (AVN) of the metacarpal heads is uncommon and has been associated with trauma, systemic lupus erythematosus, and corticosteroid usage. There have been no previous reports of metacarpal AVN described in patients with juvenile dermatomyositis. Descriptions of AVN in juvenile dermatomyositis are rare. We present 2 cases of patients with juvenile dermatomyositis who developed multifocal avascular necrosis after corticosteroid therapy with unusual distribution and review the literature on metacarpal AVN.
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