hrp0092p2-34 | Bone, Growth Plate and Mineral Metabolism | ESPE2019

Chronic Bone Disease in Pediatric Sickle Cell Disease Including a Case of Successful Bisphosphonate Therapy

Grimbly Chelsey , Girgis Rose , Jaremko Jacob L , Bruce Aisha

Background: Avascular necrosis (AVN) is common in Sickle Cell Disease (SCD), frequently involving the femoral and humeral head and less commonly involving the spine. AVN leads to joint collapse, chronic pain and disability, and often requires joint replacement in early adulthood. There are no medical therapies for AVN in SCD despite the high burden of disease and there are no published reports of bisphosphonate therapy in this condition....