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Multiple avascular necrosis in a patient with systemic lupus erythematosus/systemic sclerosis overlap syndrome

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Abstract

A white female patient developed overlapping features of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc) with severe pulmonary compromise. She was treated with steroids and azathioprine, which improved her clinical condition and spirometric status. In May 2002 she presented with continuous pain in her left ankle that continued even during rest and under treatment with nonsteroidal anti-inflammatory drugs (NSAIDs). Magnetic resonance imaging (MRI) showed multiple avascular necrosis (AVN). Rest and kinesitherapy were indicated for 1 year, and gradually an orthosis was introduced allowing the patient to walk normally.

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Authors and Affiliations

  1. Division of Rheumatology, Hospital de Clinicas “José de San Martín”, Faculty of Medicine, University of Buenos Aires, Avenida Córdoba 2351.8° Piso, Código Postal 1120AAF, Buenos Aires, Argentina

    Javier Alberto Cavallasca, Hugo Armando Laborde, Mariela Beatriz Araujo & Gustavo Guillermo Nasswetter

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  1. Javier Alberto Cavallasca
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  2. Hugo Armando Laborde
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  3. Mariela Beatriz Araujo
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  4. Gustavo Guillermo Nasswetter
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Correspondence to Javier Alberto Cavallasca.

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Cavallasca, J.A., Laborde, H.A., Araujo, M.B. et al. Multiple avascular necrosis in a patient with systemic lupus erythematosus/systemic sclerosis overlap syndrome. Clin Rheumatol 24, 406–408 (2005). https://doi.org/10.1007/s10067-004-1048-7

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  • DOI: https://doi.org/10.1007/s10067-004-1048-7

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