Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as compli...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2013/617042 |
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| _version_ | 1850160357616648192 |
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| author | Joyce Leary Arthur Swislocki |
| author_facet | Joyce Leary Arthur Swislocki |
| author_sort | Joyce Leary |
| collection | DOAJ |
| description | Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complications of epidural steroid treatment. We present an additional case of iatrogenic Cushing's Syndrome and adrenal suppression in a middle-aged woman who received three epidural steroid injections over a four-month period. We review this case in the context of previous cases and discuss diagnostic and management issues. |
| format | Article |
| id | doaj-art-b64f105d89854948add0d3fcad095282 |
| institution | OA Journals |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-b64f105d89854948add0d3fcad0952822025-08-20T02:23:09ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/617042617042Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid InjectionsJoyce Leary0Arthur Swislocki1Medical Service, VANCHCS, Martinez, CA 94553, USAMedical Service, VANCHCS, Martinez, CA 94553, USAEpidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complications of epidural steroid treatment. We present an additional case of iatrogenic Cushing's Syndrome and adrenal suppression in a middle-aged woman who received three epidural steroid injections over a four-month period. We review this case in the context of previous cases and discuss diagnostic and management issues.http://dx.doi.org/10.1155/2013/617042 |
| spellingShingle | Joyce Leary Arthur Swislocki Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections Case Reports in Endocrinology |
| title | Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections |
| title_full | Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections |
| title_fullStr | Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections |
| title_full_unstemmed | Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections |
| title_short | Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections |
| title_sort | hypothalamic pituitary adrenal suppression and iatrogenic cushing s syndrome as a complication of epidural steroid injections |
| url | http://dx.doi.org/10.1155/2013/617042 |
| work_keys_str_mv | AT joyceleary hypothalamicpituitaryadrenalsuppressionandiatrogeniccushingssyndromeasacomplicationofepiduralsteroidinjections AT arthurswislocki hypothalamicpituitaryadrenalsuppressionandiatrogeniccushingssyndromeasacomplicationofepiduralsteroidinjections |