Kohlers disease occurring in a child with acute lymphoblastic leukemia

Description: Ramachandran KR, Sasidharan K, Kusumakumary P, Ittiyavirah AK, Krishnakumar AS. Osteochondritis of the tarsal navicular bone (kohler's disease) occurring in a child with acute lymphoblastic leukemia. Indian J Radiol Imaging 1999;9:153-154
Osteochondritis is a disease of one or more epiphyses beginning as a necrosis followed by healing. Osteonecrosis is commonly encountered in children treated for hematological malignancies, especially with a steroid-containing regime. However the incidence is much less as compared to avascular necrosis. We report a case of osteochondritis of the tarsal navicular bone in a seven-year old child undergoing treatment for acute lymphoblastic leukemia (ALL) in our institution, with a steroid-containing regime.