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Detection of multifocal osteonecrosis in an adolescent with dermatomyositis using whole-body MRI

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Abstract

Osteonecrosis is a well-recognized complication of corticosteroid use resulting in significant morbidity, often requiring surgical intervention. Whole-body MRI is a promising method that allows imaging of the whole patient in a reasonable time without the use of ionizing radiation. This technique has the potential for evaluating nonmalignant multifocal skeletal disease like osteonecrosis. This case highlights the value of whole-body MR in an adolescent with dermatomyositis who developed multifocal osteonecrosis.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Allergy, Clinical Immunology and Rheumatology, Federal University of São Paulo, Rua dos Otonis, 725, São Paulo, SP, 04025-002, Brazil

    Tania C. M. Castro, Maria Teresa A. Terreri & Maria Odete E. Hilario

  2. Image Diagnosis Department, Federal University of São Paulo, São Paulo, Brazil

    Henrique Lederman

  3. Department of Radiological Sciences, Division of Diagnostic Imaging, St. Jude Children’s Research Hospital, Memphis, TN, USA

    Sue C. Kaste

Authors
  1. Tania C. M. Castro
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  2. Henrique Lederman
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  3. Maria Teresa A. Terreri
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  4. Sue C. Kaste
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  5. Maria Odete E. Hilario
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Corresponding author

Correspondence to Tania C. M. Castro.

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Castro, T.C.M., Lederman, H., Terreri, M.T.A. et al. Detection of multifocal osteonecrosis in an adolescent with dermatomyositis using whole-body MRI. Pediatr Radiol 40, 1566–1568 (2010). https://doi.org/10.1007/s00247-010-1636-4

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  • DOI: https://doi.org/10.1007/s00247-010-1636-4

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