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  1. Dokkyo Medical Journal
  2. 1(2) 2022

Iatrogenic Cushing Syndrome Caused by Long-term Use of High Potency Topical Steroid

https://dmu.repo.nii.ac.jp/records/5250
https://dmu.repo.nii.ac.jp/records/5250
75ae3834-5d72-4f55-a325-8e214f3fe4a7
名前 / ファイル ライセンス アクション
DKMJ-1-2-10.pdf DKMJ-1-2-Takaiwa-Fulltext (625.7 kB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Iatrogenic Cushing Syndrome Caused by Long-term Use of High Potency Topical Steroid
言語
言語 eng
キーワード
主題Scheme Other
主題 adverse reaction
キーワード
主題Scheme Other
主題 betamethasone butyrate propionate
キーワード
主題Scheme Other
主題 systemic side effect
キーワード
主題Scheme Other
主題 Cushing syndrome
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Takaiwa, Yuya

× Takaiwa, Yuya

en Takaiwa, Yuya

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Ichikawa, Go

× Ichikawa, Go

en Ichikawa, Go

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Otsubo, Yuto

× Otsubo, Yuto

en Otsubo, Yuto

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Komori, Itsumi

× Komori, Itsumi

en Komori, Itsumi

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Ogawa, Miori

× Ogawa, Miori

en Ogawa, Miori

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Kano, Yuji

× Kano, Yuji

en Kano, Yuji

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Yoshihara, Shigemi

× Yoshihara, Shigemi

en Yoshihara, Shigemi

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著者所属
Department of Pediatrics, Nasu Red Cross Hospital, Tochigi, Japan, Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Nasu Red Cross Hospital, Tochigi, Japan, Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Nasu Red Cross Hospital, Tochigi, Japan, Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Nasu Red Cross Hospital, Tochigi, Japan, Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Nasu Red Cross Hospital, Tochigi, Japan, Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Nasu Red Cross Hospital, Tochigi, Japan, Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 2, p. 135-140, 発行日 2022-06
抄録
内容記述タイプ Abstract
内容記述 Iatrogenic Cushing syndrome is a well-known adverse reaction of steroids, but there are few reports of this condition caused by topical agents. Although systemic side effects from topical steroids are rare, lack of physician awareness and patient guidance can lead to a risk of adverse reaction of steroids. A 12-year-old girl had been treated with betamethasone butyrate propionate as atopic dermatitis from age 6. However, her family doctor continued to prescribe without explaining how to use and the risks of side effects. As a result of continuing to apply 15 grams of it all over her body every week, except in summer when skin symptoms were mild, she developed Cushing syndrome and was referred to our hospital after short stature was reviled at school physical examination. Although MRI scan indicated possible anterior pituitary suppression, there were no suppressive findings in the hormone loading test. With appropriate topical steroids, Cushing symptoms have generally improved, and the decline in the growth rate of her height has stopped. Thus, topical corticosteroids can cause systemic side effects in children. We should avoid inappropriate topical steroids use and properly instruct patients and their families about the use of the drugs and the side effects of treatment.
記事種別
Case Report
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-5211
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.1.2_135
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