Volume 11, Issue 4 p. 521-525

Dexamethasone and Osteonecrosis

K. A. Black,

Corresponding Author

Department of Rheumatic Diseases, Royal Perth (Rehabilitation) Hospital, Perth, WA

*Medical Registrar, Royal Perth (Rehabilitation) Hospital.

Department of Rheumatic Diseases, Royal Perth (Rehabilitation) Hospital, Shenton Park, Western Australia 6008Search for more papers by this author
M. S. Khangure,

Department of Rheumatic Diseases, Royal Perth (Rehabilitation) Hospital, Perth, WA

†Radiologist, Royal Perth Hospital.

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E. T. Owen,

Department of Rheumatic Diseases, Royal Perth (Rehabilitation) Hospital, Perth, WA

‡Physician in Rheumatology, Royal Perth (Rehabilitation) Hospital.

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First published: August 1981
Citations: 9

Abstract

Abstract: Four cases are reported in whom osteonecrosis followed after Dexamethasone was administered in high dosage for a short time to mduce cerebral and spinal cord oedema. Although corticosteroids have been implicated in the development of osteonecrosis, the delay from corticosteroid administration to the development of symptoms (9–30 months), with further delay in radiographic changes (9–36 months) may result in diagnostic confusion.

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