|hiv meds and avascular necrosis
Nov 4, 2006
I am Hiv positive and have been on HIV Meds for about a year. I am curently on a HAART regimen which includes Kaletra and Truvada. I was just diagnosed with Avascular necrosis in my Hip Joint which is shot.. Is it possilble that my HIV meds have led to this condition? Thank You for yor time..
| Response from Dr. Henry
The risk for aseptic necrosis of the hip appears to be higher in HIV+ persons. It has been difficult to link to any particiular HIV medications. Studies have suggested that use of exogenous steroids (anabolic or corticosteroids) is often a contributing factor. High triglyceride/lipid levels induced by some HIV medications may also contribute some. Diabetes and alcohol use may play a role in some patients as well. I have had a half dozen of my patients develop aseptic necrosis of the hip on a variety of HIV regimens and different HIV settings so it is hard for me to see a consistent linkage to any particular HIV scenario. My patients have generally done well with surgery. KH
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