Bones and Joints

  • Graham Hughes
  • Shirish Sangle


A number of cases of “idiopathic” bone necrosis have been reported in aPL-positive individuals with no other risk factors and who have never received steroids. These include avascular lesions in the hip and shoulder, for example (Fig. 17.1).


Connective Tissue Disease Avascular Necrosis Anticoagulant Treatment Bone Necrosis Army Recruit 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Graham Hughes
    • 1
  • Shirish Sangle
    • 2
  1. 1.The London Lupus CentreLondon Bridge HospitalLondonUK
  2. 2.Louise Coote Lupus UnitSt Thomas’ HospitalLondonUK

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