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  Indian J Med Microbiol
 

Figure 1: A 24-year-old man presented with pain in the hip. His hemoglobin was 8 g per deciliter, hemoglobin electrophoresis result: Hemoglobin (Hb) Ao 49% (reference range 80-99%), Hb A 2 2.9% (reference range <2-3.5%), Hb F 0.5% (<2.5%), Hb S 41.9% (<0.9%), Hb D nil, Hb C nil. Plain radiograph; (a) Revealed osteolytic lesion in the superolateral quadrant of head of left femur,(b) Magnetic resonance imaging revealed osteonecrosis in the head of left femur. Bone scan; (c) Showed increased inhomogeneous tracer distribution in the shaft of long bones bilaterally, pelvis bilaterally suggesting cortical infarcts. The head of left femur shows cold area with increased inhomogeneous uptake within, that is compatible with osteonecrosis. There is soft tissue tracer localization in the spleen (>) typical of Sickle cell anaemia

Figure 1: A 24-year-old man presented with pain in the hip. His hemoglobin was 8 g per deciliter, hemoglobin electrophoresis result: Hemoglobin (Hb) Ao 49% (reference range 80-99%), Hb A 2 2.9% (reference range <2-3.5%), Hb F 0.5% (<2.5%), Hb S 41.9% (<0.9%), Hb D nil, Hb C nil. Plain radiograph; (a) Revealed osteolytic lesion in the superolateral quadrant of head of left femur,(b) Magnetic resonance imaging revealed osteonecrosis in the head of left femur. Bone scan; (c) Showed increased inhomogeneous tracer distribution in the shaft of long bones bilaterally, pelvis bilaterally suggesting cortical infarcts. The head of left femur shows cold area with increased inhomogeneous uptake within, that is compatible with osteonecrosis. There is soft tissue tracer localization in the spleen (>) typical of Sickle cell anaemia