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Q. MRI has revealed avascular necrosis of my left femoral head, which is continuing to deteriorate. The doctor stated that several things could have contributed to this situation, among them my long-term steroid use. I am 64 and otherwise in good health. Is this something other people should know about?
A. We are sorry to hear about this trouble with your hip. Researchers acknowledge that corticosteroid medications like prednisone can contribute to necrosis of the femoral head, a fancy way of saying death of bone tissue at the top of the femur.
Scientists are a bit uncertain about the exact mechanism for this reaction (Journal of Steroid Biochemistry and Molecular Biology, April 2009). No one knows why some people are more susceptible than others.
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ALSO BE AWARE OF MRI dye> Some people are allergic to it and also can have reactions : bone and/or skin necrosis and other disorders.. I have a type of skin problem because the dye of MRI's (I didn't know I was allergic)
I had polymyalsia rheumatica in 1997. I was on prednisone for two years. At the time it was a blessing. It got me through the disease and out of pain, but in 2003 I had to have my right hip replaced and in 2006, the left hip. I was told the dessication of the hip is a common side affect of the steroid prednisone. It is a mixed blessing for sure.