• J Clin Rheumatol · Aug 2010

    Review Case Reports

    Avascular necrosis of the metacarpals in juvenile dermatomyositis.

    • Angela Byun Robinson and C Egla Rabinovich.
    • Division of Pediatric Rheumatology, Duke University Medical Center, Durham, NC 27710, USA. angela.robinson2@duke.edu
    • J Clin Rheumatol. 2010 Aug 1;16(5):233-6.

    AbstractAvascular necrosis (AVN) of the metacarpal heads is uncommon and has been associated with trauma, systemic lupus erythematosus, and corticosteroid usage. There have been no previous reports of metacarpal AVN described in patients with juvenile dermatomyositis. Descriptions of AVN in juvenile dermatomyositis are rare. We present 2 cases of patients with juvenile dermatomyositis who developed multifocal avascular necrosis after corticosteroid therapy with unusual distribution and review the literature on metacarpal AVN.

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