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kohler disease

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does anyone know anything about this? My daughter aged 2 has

oligoarthritis and is treated with steroid injections, most frequently

in her ankles. She has had a nasty cold virus, but her joints have

been fine, not swollen or hot, then when she woke on wednesday she

literally couldnt stand let alone walk but got going as the day went

on, still complaining of pain. then on thursday could not stand at

all. Anyway to cut a very long story short i took her to the local

hospital explained that she couldnt walk but no swelling etc, they

said it may just be the virus causing painful joints but i didnt buy

it because its not how the arhritis works with her there is a definite

time line of symptoms, crying, heated joints, increasing swelling etc

before the level of pain hits that she cant walk/stand. They did x

rays and bloods and came back with a diagnosis of Kohlers disease, has

anyone heard of this/had it, is it a side effect/complication of

steroid injections? It is very rare and normally it is seen in boys

between the ages of 6 and 9, so a she is a girl and b she is very

young. It is a vascular thing whereby blood supply is cut off to the

bone and it kind of dies causing pain, limping etc. Apparently it is

self limiting she doesnt need any treatment just pain relief and it

should go away on its own in a few days/a week. The results are all

being forwarded to our rheumatologist but was interested to know what

you think, thanks milena

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