Splenic hemangioma with steroid induced avascular necrosis

Discussion:

The patient had thrombocytopenia and was thought to be autoimmune and hence she was treated with corticosteroids. The corticosteroids caused bilateral femoral head avascular necrosis and secondary osteoarthritis. The real cause for the thrombocytopenia was large splenic hemangioma which sequestrated and destroyed the platelets and though the accurate treatment should be splenectomy.

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