Dexamethasone Induced Avascular Necrosis in Pre-B Acute Lymphoblastic
Leukemia Patient, a Brief Case Report
AbstractWe present a 5-year-old male patient who is being treated for acute
lymphoblastic leukemia and is on dexamethasone as a part of a
chemotherapy regimen. The patient presented to emergency department with
acute history of bilateral leg pain. MRI features are suggestive of
established grade 3 right femoral capital femoral avascular necrosis.
Dexamethasone was omitted from the patient's future treatment and was
discharged on oral pain medication. The use of systemic corticosteroids
should be done under critical observation and both physician and patient
should be aware of the possibility of avascular necrosis.