Publication:
Iatrogenic Cushing Syndrome due to Application of Potent Topical Corticosteroid: A Case Report

creativeworkseries.issnISSN 2091-0231 eISSN 2091-167X
dc.contributor.authorBhusal, Mohan
dc.contributor.authorAryal, Eliz
dc.contributor.authorBhattarai, Sabina
dc.contributor.authorShrestha, Sanju Babu
dc.contributor.authorRajouria, Alark
dc.date.accessioned2025-08-25T08:04:51Z
dc.date.available2025-08-25T08:04:51Z
dc.date.issued2019
dc.descriptionMohan Bhusal Kathmandu Medical College, Sinamangal, Kathmandu Eliz Aryal Kathmandu Medical College Teaching Hospital, Kathmandu Sabina Bhattarai Kathmandu Medical College, Sinamangal, Kathmandu Sanju Babu Shrestha Kathmandu Medical College, Sinamangal, Kathmandu Alark Rajouria Nepal Diabetes Endocrinology and Physician Center
dc.description.abstractAbstract: Corticosteroids are over the counter and cheaper drugs available in every medical stores in Nepal. Iatrogenic Cushing syndrome due to topical steroids application is a very rare phenomenon in adults.A 32 year female from Janakpur presented with complaints of swelling of face, weight gain, excessive facial hair and fatigue since two years that gradually increased over last one year. She had a past medical history of on and off application of multiple potent topical corticosteroids for disseminated Tinea infection. She was obese with moon facies, buffalo hump and multiple striae over her abdomen. Her blood pressure was raised and her blood sugar was in pre-diabetic range. Laboratory studies were consistent with iatrogenic Cushing syndrome. Patient recovered after discontinuation of topical corticosteroids and treatment with antifungals.Although iatrogenic Cushing syndrome following application of topical corticosteroid is a rare phenomenon in adults, this can happen in a setup like ours where corticosteroids are prescribed as over the counters and patients have very little knowledge about their use. Therefore, we emphasize that patients and pharmacist should be well educated about the consequences of their prolong application and their side effects. Keywords: Adrenocorticotropic hormone, Clobetasol, Pituitary-adrenal system
dc.identifierhttps://doi.org/10.3126/njdvl.v17i1.23291
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2021
dc.language.isoen_US
dc.publisherSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
dc.titleIatrogenic Cushing Syndrome due to Application of Potent Topical Corticosteroid: A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage75
oaire.citation.startPage73
relation.isJournalIssueOfPublication4961346d-d09b-46c9-b0e0-f7ec90484ad6
relation.isJournalIssueOfPublication.latestForDiscovery4961346d-d09b-46c9-b0e0-f7ec90484ad6
relation.isJournalOfPublicationb2ab7aab-75b0-4bd1-9ed0-b8a91c68201a

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