Bone scan in alcohol induced multifocal avascular osteonecrosis: A diagnostic quandary

Document Type : Case Report


1 Department of Radiology, Aga Khan University Hospital (AKUH), Karachi, Pakistan

2 Department of Nuclear Medicine, Dr Ziauddin Medical University,Karachi, Pakistan

3 Dow University of Health Sciences (DUHS), Karachi, Pakistan


Multifocal avascular osteonecrosis is an uncommon entity having a predominant association with steroids and less commonly with alcohol abuse. In literature only few cases of alcohol induced multifocal avascular osteonecrosis involving both hips and shoulder are reported. To the best of our understanding this is the first case report or contribution from nuclear medicine court and it would help the nuclear physicians to mull about this entity in alcoholics presented with assumed “polyarthritis”.


Main Subjects

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