Detection of multifocal osteonecrosis in an adolescent with dermatomyositis using whole-body MRI

Osteonecrosis is a well-recognized complication of corticosteroid use resulting in significant morbidity, often requiring surgical intervention. Whole-body MRI is a promising method that allows imaging of the whole patient in a reasonable time without the use of ionizing radiation. This technique ha...

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Bibliographic Details
Published in:Pediatric radiology 2010-09, Vol.40 (9), p.1566-1568
Main Authors: Castro, Tania C. M., Lederman, Henrique, Terreri, Maria Teresa A., Kaste, Sue C., Hilario, Maria Odete E.
Format: Article
Language:English
Subjects:
Adolescent
Adrenal Cortex Hormones - adverse effects
Case Report
Dermatomyositis - drug therapy
Female
Humans
Imaging
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Oncology
Osteonecrosis - chemically induced
Osteonecrosis - diagnosis
Pediatrics
Radiology
Ultrasound
Whole Body Imaging
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Summary:Osteonecrosis is a well-recognized complication of corticosteroid use resulting in significant morbidity, often requiring surgical intervention. Whole-body MRI is a promising method that allows imaging of the whole patient in a reasonable time without the use of ionizing radiation. This technique has the potential for evaluating nonmalignant multifocal skeletal disease like osteonecrosis. This case highlights the value of whole-body MR in an adolescent with dermatomyositis who developed multifocal osteonecrosis.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-010-1636-4