{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:37Z","timestamp":1756339537598,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,3]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>We present a case of a child in middle childhood (6\u201311 years) diagnosed with juvenile idiopathic arthritis (JIA) who developed glucocorticoid-induced avascular necrosis (AVN) of the navicular bone. Glucocorticoid-induced AVN in children, particularly of the navicular bone, is a rare but serious complication. Glucocorticoid therapy, often used in managing JIA, can disrupt the blood supply to developing bones, leading to AVN. Early recognition and intervention are crucial to prevent long-term morbidity. This case underscores the importance of minimising the duration of prolonged glucocorticoid use in children.<\/jats:p>","DOI":"10.1136\/bcr-2024-264060","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:29:57Z","timestamp":1742956197000},"page":"e264060","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Navicular avascular necrosis in juvenile idiopathic arthritis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2699-988X","authenticated-orcid":false,"given":"Vaibhav S","family":"Bellary","sequence":"first","affiliation":[{"name":"Department of Clinical Immunology and Rheumatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitendra Shankarlal","family":"Oswal","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology and Rheumatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepti","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology and Rheumatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhila B","family":"Kadimisetty","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology and Rheumatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"2025082708544581000_18.3.e264060.1","first-page":"1554","article-title":"Avascular necrosis of the femoral head: diagnosis and 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