Three Different Involvements in a Case of Ulcerative Colitis: Bilateral Femoral Head Avascular Necrosis, Spondylodiscitis and Spondyloarthropathy

Abstract

Avascular necrosis (AVN) is a serious condition that develops as a result of inadequate blood supply to bone tissue. This condition is usually associated with trauma, long-term steroid use, or systemic diseases. Spondylodiscitis is a serious infection affecting the spinal discs and vertebral bodies and is usually of bacterial origin. The association of spondylodiscitis and avascular necrosis is rare. In this case report, bilateral femoral head avascular necrosis and spondylodiscitis coexistence in a 53-year-old female patient diagnosed with ulcerative colitis is discussed. This case aims to emphasize the risk of developing AVN and spondylodiscitis in patients with chronic inflammatory disease who receive long-term corticosteroid treatment.

Keywords

• avascular necrosis
• spondylodiscitis
• inflammation
• corticosteroid
• osteoimmunology
• spondyloarthropathy