Infantile Iatrogenic Cushing Syndrome due to Topical Steroids

Cushing syndrome is an endocrinological disorder characterized by increased free plasma glucocorticoids level. It is either due to an excessive endogenous release of steroids (e.g., pituitary adenoma or adrenal hyperplasia) or exogenous administration of steroids. In children, iatrogenic Cushing syn...

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Main Authors: Lulwah Alkhuder, Horia Mawlawi
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2019/2652961
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author Lulwah Alkhuder
Horia Mawlawi
author_facet Lulwah Alkhuder
Horia Mawlawi
author_sort Lulwah Alkhuder
collection DOAJ
description Cushing syndrome is an endocrinological disorder characterized by increased free plasma glucocorticoids level. It is either due to an excessive endogenous release of steroids (e.g., pituitary adenoma or adrenal hyperplasia) or exogenous administration of steroids. In children, iatrogenic Cushing syndrome is the most common form of Cushing syndrome occurring in this age group. The vast majority of cases are due to oral or parenteral preparation of steroids, which are commonly prescribed for pulmonary, hematological, renal, or autoimmune pathologies. Topical preparations can rarely cause Cushing syndrome in young children, and only a few cases were reported in the literature, where the patients were older than 5 months of age. In this report, we present a three-month-old girl who developed iatrogenic Cushing syndrome due to prolonged and inappropriate use of topical clobetasol cream for napkin dermatitis.
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series Case Reports in Pediatrics
spelling doaj-art-342b3c8b21b64cc59d33201e83ed06d52025-08-20T02:24:17ZengWileyCase Reports in Pediatrics2090-68032090-68112019-01-01201910.1155/2019/26529612652961Infantile Iatrogenic Cushing Syndrome due to Topical SteroidsLulwah Alkhuder0Horia Mawlawi1Department of Pediatric Endocrinology, Prince Sultan Medical City, Riyadh, Saudi ArabiaDepartment of Pediatric Endocrinology, Prince Sultan Medical City, Riyadh, Saudi ArabiaCushing syndrome is an endocrinological disorder characterized by increased free plasma glucocorticoids level. It is either due to an excessive endogenous release of steroids (e.g., pituitary adenoma or adrenal hyperplasia) or exogenous administration of steroids. In children, iatrogenic Cushing syndrome is the most common form of Cushing syndrome occurring in this age group. The vast majority of cases are due to oral or parenteral preparation of steroids, which are commonly prescribed for pulmonary, hematological, renal, or autoimmune pathologies. Topical preparations can rarely cause Cushing syndrome in young children, and only a few cases were reported in the literature, where the patients were older than 5 months of age. In this report, we present a three-month-old girl who developed iatrogenic Cushing syndrome due to prolonged and inappropriate use of topical clobetasol cream for napkin dermatitis.http://dx.doi.org/10.1155/2019/2652961
spellingShingle Lulwah Alkhuder
Horia Mawlawi
Infantile Iatrogenic Cushing Syndrome due to Topical Steroids
Case Reports in Pediatrics
title Infantile Iatrogenic Cushing Syndrome due to Topical Steroids
title_full Infantile Iatrogenic Cushing Syndrome due to Topical Steroids
title_fullStr Infantile Iatrogenic Cushing Syndrome due to Topical Steroids
title_full_unstemmed Infantile Iatrogenic Cushing Syndrome due to Topical Steroids
title_short Infantile Iatrogenic Cushing Syndrome due to Topical Steroids
title_sort infantile iatrogenic cushing syndrome due to topical steroids
url http://dx.doi.org/10.1155/2019/2652961
work_keys_str_mv AT lulwahalkhuder infantileiatrogeniccushingsyndromeduetotopicalsteroids
AT horiamawlawi infantileiatrogeniccushingsyndromeduetotopicalsteroids