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- Title
Two Cases of Surreptitious Steroid Use Uncovered Utilizing Urine Synthetic Glucocorticoid Testing.
- Authors
Pape, Bryn J; Kern, Philip A
- Abstract
Although most patients are transparent regarding steroid use, rare patients use steroids surreptitiously, which can occasionally result in factitious Cushing syndrome or extensive diagnostic testing. We present 2 cases, 1 with factitious Cushing syndrome and the second with surreptitious steroid use resulting in abnormal laboratory results and a complicated clinical picture. Synthetic glucocorticoid urine testing was positive for triamcinolone acetonide and fluticasone propionate in case 1 and triamcinolone acetonide only in case 2, which clarified the diagnosis and minimized additional and potentially invasive testing.
- Subjects
STEROID drugs; TRIAMCINOLONE acetonide; GLUCOCORTICOIDS; CUSHING'S syndrome; FLUTICASONE propionate
- Publication
JCEM Case Reports, 2023, Vol 1, Issue 6, p1
- ISSN
2755-1520
- Publication type
Article
- DOI
10.1210/jcemcr/luad132