AVASCULAR NECROSIS OF BONE: THE HIDDEN RISK OF GLUCOCORTICOIDS USED AS ANTIEMETICS IN CANCER CHEMOTHERAPY

Author:

Virik K1,Karapetis C1,Droufakou S1,Harper P1

Affiliation:

1. Department of Medical Oncology Guy's Hospital London

Abstract

SUMMARYThe role of antiemetics is invaluable in allowing cancer patients to complete otherwise potentially intolerable chemotherapy. Corticosteroids have an established place in the prevention and treatment of nausea and vomiting due to emetogenic cytotoxic agents. Avascular necrosis of bone is a recognised complication of glucocorticoid treatment – the risk of this increasing with higher doses and longer duration of use. This report details a case of bilateral avascular necrosis of the femoral heads in a patient receiving ‘standard’ doses of dexamethasone as part of the antiemetic regimen used in cisplatin‐based combination chemotherapy.

Publisher

Wiley

Subject

General Medicine

Reference8 articles.

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3. Osteonecrosis of the femoral head in patients with lymphoma treated with intermittent combination chemotherapy (including corticosteroids)

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5. OSTEONECROSIS AFTER CHEMOTHERAPY

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