Abstract.
We report an unusual case of pathologically proved femoral head Brodie's abscess mimicking avascular necrosis of bone in a 51-year-old woman with a 2-year history of corticosteroid treatment for systemic lupus erythematosus. On plain radiographs, a rounded lucency and thin sclerotic margins together with subchondral collapse and a lytic region were observed in the femoral head. The histopathologic examination revealed a central abscess formation surrounded by fibrous tissue with the aggregation of neutrophils and plasma cells. To our knowledge, this is the first case report describing a Brodie's abscess which had developed within the proximal femoral epiphysis in an adult.
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Miyanishi, K., Yamamoto, T., Irisa, T. et al. Brodie's abscess of the proximal femoral epiphysis in an adult woman with systemic lupus erythematosus. Arch Orthop Trauma Surg 122, 311–314 (2002). https://doi.org/10.1007/s00402-002-0402-y
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DOI: https://doi.org/10.1007/s00402-002-0402-y