1
|
Daoud F, Rachdi I, Frikha O, Ben Salah M, Charaa S, Zoubeidi H, Somai M, Hadhri K, Kooli M, Chammakhi C, Boussema F. Salmonella osteomyelitis complicating aseptic osteonecrosis: Don't forget about the antiphospholipid syndrome. Clin Case Rep 2021; 9:2205-2209. [PMID: 33936665 PMCID: PMC8077413 DOI: 10.1002/ccr3.3984] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 12/27/2020] [Indexed: 11/25/2022] Open
Abstract
Osteonecrosis in antiphospholipid syndrome is a diagnostic challenge for clinicians. Early diagnosis and intervention are important for better prognosis.
Collapse
Affiliation(s)
- Fatma Daoud
- Internal Medicine DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Imène Rachdi
- Internal Medicine DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Olfa Frikha
- Internal Medicine DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Mohamed Ben Salah
- Orthopedic Surgery DepartmentFaculty of Medicine of TunisCharles Nicolle HospitalUniversity of Tunis el ManarTunisTunisia
| | - Soumaya Charaa
- Radiology DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Hana Zoubeidi
- Internal Medicine DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Mehdi Somai
- Internal Medicine DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Khaled Hadhri
- Orthopedic Surgery DepartmentFaculty of Medicine of TunisCharles Nicolle HospitalUniversity of Tunis el ManarTunisTunisia
| | - Mondher Kooli
- Orthopedic Surgery DepartmentFaculty of Medicine of TunisCharles Nicolle HospitalUniversity of Tunis el ManarTunisTunisia
| | - Chiraz Chammakhi
- Radiology DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| | - Fatma Boussema
- Internal Medicine DepartmentFaculty of Medicine of TunisHabib Thameur HospitalUniversity of Tunis el ManarTunisTunisia
| |
Collapse
|
2
|
Jarman MI, Lee K, Kanevsky A, Min S, Schlam I, Mahida C, Huda A, Milgrom A, Goldenberg N, Glueck CJ, Wang P. Case report: primary osteonecrosis associated with thrombophilia-hypofibrinolysis and worsened by testosterone therapy. BMC HEMATOLOGY 2017; 17:5. [PMID: 28361003 PMCID: PMC5368894 DOI: 10.1186/s12878-017-0076-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Accepted: 03/17/2017] [Indexed: 11/29/2022]
Abstract
Background Familial and acquired thrombophilia are often etiologic for idiopathic hip and jaw osteonecrosis (ON), and testosterone therapy (TT) can interact with thrombophilia, worsening ON. Case presentation Case 1: A 62-year-old Caucasian male (previous deep venous thrombosis), on warfarin 1 year for atrial fibrillation (AF), had non-specific right hip-abdominal pain for 2 years. CT scan revealed bilateral femoral head ON without collapse. Coagulation studies revealed Factor V Leiden (FVL) heterozygosity, 4G/4G plasminogen activator inhibitor (PAI) homozygosity, high anti-cardiolipin (ACLA) IgM antibodies, and endothelial nitric oxide (NO) synthase (eNOS) T786C homozygosity (reduced conversion of L-arginine to NO, required for bone health). Apixaban 5 mg twice daily was substituted for warfarin; and L-arginine 9 g/day was started to increase NO. On Apixaban for 8 months, he became asymptomatic. Case 2: A 32-year-old hypogonadal Caucasian male had 10 years of unexplained tooth loss, progressing to primary jaw ON with cavitation 8 months after starting TT gel 50 mg/day. Coagulation studies revealed FVL heterozygosity, PAI 4G/4G homozygosity, and the lupus anticoagulant. TT was discontinued. Jaw pain was sharply reduced within 2 months. Conclusions Idiopathic ON, often caused by thrombophilia-hypofibrinolysis, is worsened by TT, and its progression may be slowed or stopped by discontinuation of TT and, thereafter, anticoagulation. Recognition of thrombophilia-hypofibrinolysis before joint collapse facilitates anticoagulation which may stop ON, preserving joints.
Collapse
Affiliation(s)
- Michael Ian Jarman
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Kevin Lee
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Ariel Kanevsky
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Sarah Min
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Ilana Schlam
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Chris Mahida
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Ali Huda
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Alexander Milgrom
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Naila Goldenberg
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Charles J Glueck
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| | - Ping Wang
- Jewish Hospital, Internal Medicine Resident Graduate Medical Education Department, 4777 East Galbraith Road, Cincinnati, OH 45236 USA
| |
Collapse
|
4
|
Lekovic JP, Friedman CM, Desancho MT. Lingual thrombosis in a woman with antiphospholipid syndrome. Am J Obstet Gynecol 2013; 208:e3-4. [PMID: 23313716 DOI: 10.1016/j.ajog.2013.01.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2012] [Revised: 12/16/2013] [Accepted: 02/04/2013] [Indexed: 11/27/2022]
Abstract
A 28-year-old woman, 34 weeks pregnant, with previously diagnosed antiphospholipid syndrome, presents with vesicular tongue lesions treated as herpes outbreak and new onset of preeclampsia. Tongue biopsy preformed postpartum after induction of labor for preeclampsia reveals tongue infarction.
Collapse
Affiliation(s)
- Jovana P Lekovic
- Department of Obstetrics and Gynecology, New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY, USA
| | | | | |
Collapse
|
6
|
Haque W, Kadikoy H, Pacha O, Maliakkal J, Hoang V, Abdellatif A. Osteonecrosis secondary to antiphospholipid syndrome: a case report, review of the literature, and treatment strategy. Rheumatol Int 2009; 30:719-23. [DOI: 10.1007/s00296-009-1269-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Accepted: 11/29/2009] [Indexed: 11/24/2022]
|
8
|
Vasculitis: Current Status and Future Directions. Clin Rev Allergy Immunol 2008; 35:1-4. [DOI: 10.1007/s12016-007-8061-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
9
|
Bibliography. Current world literature. Systemic lupus erythematosus and Sjögren's syndrome. Curr Opin Rheumatol 2008; 20:631-2. [PMID: 18698190 DOI: 10.1097/bor.0b013e3283110091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
10
|
Sherer Y, Matthias T, Shoenfeld Y. Cutting Edge Issues in Autoimmunity. Clin Rev Allergy Immunol 2008; 34:275-8. [DOI: 10.1007/s12016-007-8047-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|