Vol.21 No.6

Case Report

Osteonecrosis of the femoral head and glaucoma caused by topical corticosteroid application

Authors

Tamon Kabata1 , Keito Shimanuki1 , Kiichi Shimanuki2 , Hiroyuki Tsuchiya1

  • Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, 920-8641, Japan
  • Department of Pharmacy, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, 920-8641, Japan
Received:

16 December 2010

Accepted:

16 May 2011

Published online:

21 June 2011

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Abstract

A 37-year-old man was diagnosed with bilateral osteonecrosis of the femoral head (ONFH) and glaucoma. He had no risk factors for either ONFH or glaucoma, except for 24 years’ continuous use of topical corticosteroid ointments for treating atopic dermatitis. We determined that the topical steroid had caused both the pathological conditions. It is necessary to recognize that continuous topical corticosteroid therapy may cause the same pathological conditions as those caused by the systemic administration of these agents.

Key words

Corticosteroids - Osteonecrosis of the femoral head - Glaucoma