Pregnancy after avascular necrosis of the femur complicating Gaucher's disease.

Cleary, J E; Burke, W M; Baxi, L V · Am J Obstet Gynecol · 2001

case_report · Level V

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Abstract

A patient with type I Gaucher's disease had avascular necrosis of the right femoral head that resulted in an altered bony pelvis and marked restriction of right hip abduction. Enzyme replacement therapy with alglucerase prevented further deterioration and improved thrombocytopenia. Vaginal delivery was achieved with the patient in the left lateral position with exaggerated flexion at the contralateral hip.

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