Evidence map›Paper›PMID 37870059›Full record

ArticleCurrent rheumatology reviews2024

Bilateral Avascular Necrosis of the Femoral Heads After COVID-19 Infection without Steroid Treatment.

Adel Elbialy, Mona Mokhtar Elmetwally Megahed, Amira Shahin Ibrahim, Aml Mohamed Elmesiry, Maha Salah Eldin Mohamed, Mohamed Magdy Ghit, Yasser Abdel Motaleb Gazar, Seham Abdallah Elazab

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In one paragraph

Article in Current rheumatology reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Adel ElbialyDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Mona Mokhtar Elmetwally MegahedDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Amira Shahin IbrahimDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Aml Mohamed ElmesiryDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Maha Salah Eldin MohamedDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Mohamed Magdy GhitDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Yasser Abdel Motaleb GazarDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Seham Abdallah ElazabDepartment of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.ORCID 0009-0003-6493-9244
Al-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAvascular necrosis (AVN) is a potentially serious multifactorial disease. In COVID-19 patients, AVN of many bones has been reported. Usually, the condition is linked to steroid therapy. In this case report, we describe our experience with bilateral AVN of femoral heads in an elderly patient months after being cured of COVID-19 infection without the use of steroids. CASE PRESENTATION: A 68-year-old male was referred to the outpatient clinic of the rheumatology and rehabilitation department for progressive bilateral hip pain starting on the left side 5 months ago. An extensive review of the patient's medical history identified documented COVID-19 infection that required hospitalization 9 months before presentation. Multiplanar MRI with fat suppression of both hips showed ill-defined areas of abnormal signal intensity affecting the left femoral head, neck and intertrochanteric regions with associated subchondral fissuring and mild joint effusion. A similar smaller area was also seen affecting the postero-superior aspect of the right femoral head.

conclusionAVN in COVID-19 patients can be encountered even in the absence of steroid therapy.

Indexed as

COVID-19Femur Head NecrosisAgedHumansMagnetic Resonance ImagingMaleSARS-CoV-2avascular necrosiscase reportCOVID-19MRI.steroid treatmenttherapy

Identifiers

PMID37870059
OpenAlexW4387865513

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.