Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids

Iatrogenic Cushing’s syndrome (ICS) is usually related to prolonged and/or high-dose oral or parenteral steroid use. Psoriasis vulgaris (PV) is chronic inflammatory disease and characterized by periods of attack and remission. Topical steroid (TS) is the first choice of treatment for localized and m...

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Main Authors: Suzan Demir Pektas, Gursoy Dogan, Nese Cinar
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2017/8320254
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author Suzan Demir Pektas
Gursoy Dogan
Nese Cinar
author_facet Suzan Demir Pektas
Gursoy Dogan
Nese Cinar
author_sort Suzan Demir Pektas
collection DOAJ
description Iatrogenic Cushing’s syndrome (ICS) is usually related to prolonged and/or high-dose oral or parenteral steroid use. Psoriasis vulgaris (PV) is chronic inflammatory disease and characterized by periods of attack and remission. Topical steroid (TS) is the first choice of treatment for localized and mild PV. The development of systemic side effects of the steroids is usually not observed after TS application. But the risk of developing ICS still exists. In the literature, there are a few adult cases who developed ICS and subsequent adrenal insufficiency associated with TS. In this article, a male patient with PV developing ICS and secondary adrenal insufficiency after treatment of TS for 12 years is presented.
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institution Kabale University
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publishDate 2017-01-01
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series Case Reports in Endocrinology
spelling doaj-art-218d83e12e10492984e8f65508b993132025-08-20T03:54:42ZengWileyCase Reports in Endocrinology2090-65012090-651X2017-01-01201710.1155/2017/83202548320254Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical SteroidsSuzan Demir Pektas0Gursoy Dogan1Nese Cinar2Department of Dermatology, Mugla Sitki Kocman University, Faculty of Medicine, 48000 Mugla, TurkeyDepartment of Dermatology, Mugla Sitki Kocman University, Faculty of Medicine, 48000 Mugla, TurkeyDepartment of Endocrinology and Metabolic Diseases, Mugla Sitki Kocman University, Faculty of Medicine, 48000 Mugla, TurkeyIatrogenic Cushing’s syndrome (ICS) is usually related to prolonged and/or high-dose oral or parenteral steroid use. Psoriasis vulgaris (PV) is chronic inflammatory disease and characterized by periods of attack and remission. Topical steroid (TS) is the first choice of treatment for localized and mild PV. The development of systemic side effects of the steroids is usually not observed after TS application. But the risk of developing ICS still exists. In the literature, there are a few adult cases who developed ICS and subsequent adrenal insufficiency associated with TS. In this article, a male patient with PV developing ICS and secondary adrenal insufficiency after treatment of TS for 12 years is presented.http://dx.doi.org/10.1155/2017/8320254
spellingShingle Suzan Demir Pektas
Gursoy Dogan
Nese Cinar
Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids
Case Reports in Endocrinology
title Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids
title_full Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids
title_fullStr Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids
title_full_unstemmed Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids
title_short Iatrogenic Cushing’s Syndrome with Subsequent Adrenal Insufficiency in a Patient with Psoriasis Vulgaris Using Topical Steroids
title_sort iatrogenic cushing s syndrome with subsequent adrenal insufficiency in a patient with psoriasis vulgaris using topical steroids
url http://dx.doi.org/10.1155/2017/8320254
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AT gursoydogan iatrogeniccushingssyndromewithsubsequentadrenalinsufficiencyinapatientwithpsoriasisvulgarisusingtopicalsteroids
AT nesecinar iatrogeniccushingssyndromewithsubsequentadrenalinsufficiencyinapatientwithpsoriasisvulgarisusingtopicalsteroids