Long-term systemic glucocorticoid therapy: patients' representations, prescribers' perceptions, and treatment adherence.

Introduction: Glucocorticoids have been used since 1948 for their anti-inflammatory and structural effects in various inflammatory diseases. The optimal use of glucocorticoids remains controversial. Patients may have a number of concerns about the effects of glucocorticoids.

Idiopathic avascular necrosis of the femoral heads in five members of a Moroccan family.

Avascular necrosis (AVN) is idiopathic in about 40% of cases. The pathophysiology of avascular necrosis remains incompletely elucidated. Here, we report a case that underlines the role for inherited factors in AVN of the femoral heads.