Question of the Week # 166

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

6 Responses

  1. eeeeeeeeeeeee

  2. avn.e

  3. eee

  4. E.

  5. It is avascular necrosis with fracture neck of femur Rt.

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