Case Report on Management and outcomes of Avascular Necrosis in sickle cell Anemia

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Mr. Samir D. Waghmare , Ms. Seema M. Kolhe, Ashish Bhagat , Nitin Wange

Abstract

Components of the bone's cellular death induced by a blood supply blockage is known as avascular necrosis (AVN). Pain, loss of joint function, and long-term joint damage result from the collapse of bone structures. Osteonecrosis, aseptic necrosis, and ischemic bone necrosis are all terms used to describe AVN. Present complaints and investigation: The Male patient 22 year old who was admitted in AVBRH on date 07/07/2021 with chief complaint  of Discomfort in both hips (left and right) was caused by distension of the afflicted joint, which could cause hip pain in the groin, thigh, or buttock. Aside The hip, shoulder, knee, hand, and foot, as well as both hips and knees, are all susceptible to injury. Following a test of X-rays, computed tomography scans (often known as CT scans), magnetic resonance imaging (MRI), radionuclide bone scans, and biopsies are all used in the physical examination. Bone function is assessed. Past history: 6 month ago patient admitted in rural hospital Yawatmal chief complaint on back pain and leg pain, loss of appetites, fever after the she diagnosis X-ray of  took (MRI) the treatment for that. The main diagnosis, therapeutic intervention and outcomes: After physical examination and investigation doctor diagnose. Despite the fact that she never required urgent RBC exchange transfusions for ACS therapy, she had basic RBC transfusions frequently during her hospitalizations. With the following liver iron content, she had increasing transfusion hepatic iron overload. She was started on calcium and vitamin D supplementation.  Conclusion :- Hi was response to all medication as well as doctor treatment and her recovery was good.

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