166) A 42 year old woman with history of lupus nephritis presents with complaints of pain in her right thigh. Pain increases on walking and standing. Her kidney disease is under control on Prednisone maintenance for past one year. She denies any recent trauma. On physical examination, she is noted to have a right sided limp on walking. Her Hip X-ray is shown below:
The most likely etiology for the condition shown above:
A) Renal insufficiency
B) Secondary Hyperparathyroidism
C) Systemic Lupus Erythematosus
D) Vitamin D deficiency
E) Prednisone therapy
b?
steroid causes decrease absorption of calcium from gut which causes 2ndry hyper PTH?
e.
for sure
eeeeeeeeeeeee
e…avn
vitanin d deficiency
E
because her useage of steroid may lead to decrease calcium absorption plus the avascular necrosis of the head of femur,, thus the answer is E
E
Steroid induced osteoporosis—>fracture. E
there is avascular necrosis of head of femur so its due to steroids therapy in this x-ray the answer is E
b
e
E
B) Secondary Hyperparathyroidism
e
e
d
E bec pt in long term use of steroid should take supplement ca or vit D
is e……..cent %
e