Dec 13, 2005
About 1 month ago I was diagnosed with Bilateral Avascular Necrosis of my hips. I am HIV positive and on a Regiment of drugs that consist of Viread, Ziagen, Atazanavir and Novir all taken once a day. I have had no trauma and do not take steriod medications. My right hip is 60% affected and my left is 30% affected. I will be needing total hip replacement surgery to my left hip and core compression to my right. My question is, do you think I have this due to medication or the HIV itself. I am 43 years old. Thank you.
| Response from Dr. Henry
Sometimes elevated lipids are associated with avascular necrosis of the hip (can be aggravated by protease inhibitors). Excessive alcohol use, pancreatitis, coagulation abnormalities, other meds (such as Megace or even inhaled steroids in the setting of use of protease inhibitors). The role of effective HIV treatment remains unclear though a small number of patients seem to develop avascular necrosis after starting effective HIV therapy. Much uncertainty remains about the actual role of HIV infection, specific drugs, or immune factors as potential triggersfor avascular necrosis. KH
Get Email Notifications When This Forum Updates or Subscribe With RSS
- When Is Syphilis Contagious?
- What Happens If You Don't Treat Gonorrhea?
- What Do Genital Warts Look Like In Early Stages?
- What Color Is The Discharge From Gonorrhea?
- What Are The Chances Of Getting Aids Or Hpv From Open Mouth Kissing?
- Typical Acute Retroviral Syndrome Disease Progression
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.