Avascular necrosis of the femoral head in patient with Lyme disease and Devic’s optic neuritis
- avascular necrosis,
- femoral head,
- stem cells
How to Cite
Copyright (c) 2023 Vilijam Velkovski, Ilir Shabani, Viktor Kamnar, Antonio Gavrilovski, Teodora Todorova, Milena Bogojevska-Doksevska, Danica Popovska, Erieta Nikolikj-Dimitrova
This work is licensed under a Creative Commons Attribution 4.0 International License.
Avascular necrosis of the femoral head is a condition that leads to the collapse of the femoral head, which eventually ends in osteonecrosis of the hip head and the need for a total hip replacement. It affects patients of both sexes between 20-55 years of age. The pathogenetic cause is a progressive reduction of blood circulation which leads to destruction of the femoral head. Most often the causes are corticosteroid therapy, alcoholism, smoking, trauma, etc. Decompression of the femoral head accompanied by application of mesenchymal stem cells to the necrotic zone is a promising regenerative method of treatment. We present a case of a 20-year-old patient who was diagnosed with avascular necrosis of the femoral head of the left hip, due to a high dosage of corticosteroid therapy, with Lyme disease and Devic’s optic neuritis. Corticosteroid- induced avascular necrosis of the femoral head most commonly affects the femoral head, but other skeletal parts are not excluded. Majority of patients complain of pain with an insidious onset, which exacerbates with physical activity, and tends to worse with time. Early diagnosis and treatment arecrucial. Despite some controversy regarding the treatment of avascular necrosis of the femoral head with stem cells, the general outcomes of using stem cells appear to be positive in terms of efficacy and safety.