Avascular necrosis of the right femoral head in female patient with Systemic Lupus Erythematosus

A Sinaga (Department of Internal Medicine, University of Indonesia School of Medicine/ Cipto Mangunkusumo General Hospital, Jakarta, Indonesia)
H Nufus (Department of Internal Medicine, University of Indonesia School of Medicine/ Cipto Mangunkusumo General Hospital, Jakarta, Indonesia)
Bambang Setiyohadi (Division of Rheumatology,Department of Internal Medicine, Universityof Indonesia School of Medicine/Cipto Mangunkusumo General Hospital, Jakarta)

Indonesian Journal of Rheumatology
Vol. 5 No. 1 (2014): Indonesian Journal of Rheumatology

Avascular necrosis (also known as osteonecrosis, aseptic necrosis, or ischemic necrosis) represents collection of pathologic conditions from various etiologies causing impairment of blood supply to particular bone resulting in bone cellular death.Avascular necrosis remains a significant cause of morbidity in patients with systemic lupus erythematosus (SLE).1 It often involves multiple joints in SLE, in which the femoral head is involvedin most of these patients. Corticosteroids use is known as a major risk factor in the development of this complication.2-3 We report this case due to its quite common occurrence in SLE patients. The early recognition of avascular necrosis is essentialto prevent morbidity