Avascular necrosis as a manifestation of post-COVID syndrome in routine practice of rheumatologist

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Abstract

Avascular necrosis as a part of post-COVID syndrome requires increased attention of physicians due to significant misfunction of musculoskeletal system, increased disability, and frequently requires surgical intervention. It is known that hypercoagulation, thrombosis as well as systemic corticosteroid therapy during severe coronavirus infection play an important role in the development of avascular necrosis. A case report of progressive avascular necrosis in multiple loci accompanied by polyarthritis in a young man developed after severe COVID-19 is reported below.

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About the authors

I. B. Bazina

Smolensk State Medical University

Author for correspondence.
Email: billy_boss@mail.ru

Candidate of Medical Sciences

Russian Federation, Smolensk

D. G. Krechikova

Clinical hospital «RZhD-Medicine»

Email: billy_boss@mail.ru

Candidate of Medical Sciences

Russian Federation, Smolensk

O. A. Kozyrev

Smolensk State Medical University

Email: billy_boss@mail.ru

Doctor of Medical Sciences, Professor

Russian Federation, Smolensk

M. V. Pavlova

Smolensk State Medical University

Email: billy_boss@mail.ru
Russian Federation, Smolensk

I. A. Loginova

Smolensk State Medical University

Email: billy_boss@mail.ru
Russian Federation, Smolensk

V. A. Kononova

Smolensk State Medical University

Email: billy_boss@mail.ru
Russian Federation, Smolensk

L. G. Yakub

Smolensk State Medical University

Email: billy_boss@mail.ru
Russian Federation, Smolensk

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Supplementary files

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1. JATS XML
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2. Fig. 1. No active focal and infiltrative shadows are found in the lungs; the roots are structural, the diaphragm is usually located, with even contours; the sinuses are free; the aorta has no characteristics

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3. Fig. 2. The right joint space is sharply narrowed; the right femoral head is deformed and has a heterogeneous structure

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