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A Complication of Long-Term Corticosteroid Therapy

NORMAN N. EPSTEIN, MD; DENNY L. TUFFANELLI, MD; JOHN H. EPSTEIN, MD

Arch Dermatol. 1965;92(2):178-180.

Abstract
A patient with pemphigus vulgaris, treated with long term corticosteroids, developed avascular necrosis of the head of the femur and humerus, bilaterally. This patient emphasizes the fact that the use of corticosteroids in dermatologic disorders may be a predisposing cause in avascular necrosis, and that this is another side effect of long-term corticosteroid therapy. This patient is particularly remarkable in that both hips and both shoulders were involved.

Author Affiliations
SAN FRANCISCO

From the Division of Dermatology, Department of Medicine, University of California School of Medicine, San Francisco.

Footnotes
Accepted for publication April 20, 1965.

Reprint requests to Division of Dermatology, Department of Medicine, University of California School of Medicine, San Francisco (Dr. N. Epstein).

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