Femoral head avascular necrosis of in a young cushingoid opium addicted patient in the context of new combined opioid substance with corticosteroids

Abstract

Key Clinical Message AVN should be considered in addicted to oral opium patient without history of glucocorticoid consumption who present with pelvic pain, due to recent reports of the illegal and secret addition of glucocorticoid in new combination substance with opium.

Keywords

• avascular necrosis
• exogenous Cushing
• new substance combination
• opium addiction