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- Title
TOPİKAL STEROİDLİ POMADLARA BAĞLI İYATROJENİK CUSHİNG SENDROMU.
- Authors
Kaya, Avni; Yuca, Sevil Arı; Doğan, Murat; Sal, Ertan; Temel, Hayrettin; Cesur, Yaşar
- Abstract
Diaper dermatitis (napkin rash.) is a skin disease which can be seen in diaper areas of babies as rubor and in more serious cases as bulla and open wounds. For treatment in necessary conditions, it is suggested to use antifungals and/or 0.5-1% hydrocortisone pomads in addition to symptomatic therapy such as moistening of the skin and removal of irritant agents from area. Seven-month-girl and six-month-boy case was brought with excess weight intake complaints. They were excessively obese and had an increase adipose tissue under their skins. Both cases had used pomads involving clobetasol 1 7-propionate for the last 3 months. Their family history was normal. Serum ACTH levels was <5.00 pg/mL (25-1 00 pg/mL) and plasma cortisol levels was <1.00 μg/dL (5-23 μg/dL) in both cases. Cushing's syndrome associated with pomade with topical steroid was diagnosed in the cases and pomades that they used were abandoned. The cushinglihe appearance has declined over time and disappeared after some time. Cases are being followed as asymptomatically. It would not be surprising to see more new cases of iatrogenic Cushings syndrome, until usage of topical pomades, which has high steroid effect, without indication and especially without prescription is stopped.
- Subjects
SKIN inflammation; SKIN diseases; ANTIFUNGAL agents; CUSHING'S syndrome; IATROGENIC diseases in children; THERAPEUTICS
- Publication
Nobel Medicus Journal, 2009, Vol 5, Issue 3, p95
- ISSN
1305-2381
- Publication type
Case Study