A case of completed course multifocal osteonecrosis (MFON) during pregnancy due to primary antiphospholipid syndrome

Abstract Osteonecrosis of both shoulders and hips is a rare presentation primary antiphospholipid syndrome. A female patient aged 23 years old with no systemic diseases has her only complaint which was pain limitations in followed by shoulders. Careful detailed history clinical examination essential for reaching optimum diagnosis thus good management. MRI hip shoulder joints the osteonecrosis. Exclusion all causes secondary osteonecrosis history, examination, laboratory studies should be done before diagnosing or type. Pregnancy an exacerbation factor We recommend that receive prophylactic antithrombotic during pregnancy. In conclusion, exclusion mandatory to reach accurate diagnosis.