Reactions 1680, p142 - 2 Dec 2017 Cushing’s syndrome: case report A 4 years-old boy developed Cushing’s syndrome (CS) during treatment with fluorometholone eye drops. The boy presented with the complaint of rapid weight gain. He had a BMI of 18.1 with a height of 99.9cm and a weight of 18.1kg. On presentation, his examination demonstrated moon facies. He had a diagnosis of allergic conjunctivitis and he had been receiving fluorometholone containing eye drops (0.1% solution) and netilmicin for one month. He was using 3 5 drops of fluorometholone a day. At basal hormonal evaluation, his cortisol level was 0.38 µg/dL and ACTH level was <5 pg/mL. An ACTH stimulation test was performed and peak cortisol level of 11.5 µg/dL was obtained at 60 minutes. These findings were consistent with adrenal insufficiency. Thereafter, the boy was recommended for hydrocortisone therapy, but his family was reluctant to hydrocortisone th treatment. Basal hormonal evaluation at the 4 month, showed the normal functioning of pituitary-adrenal axis. Additionally, his facial appearance became normal. Author comment: "In our patient, CS developed following the use of fluorometholone, a relatively less potent steroid compared to these other steroids." "Although eyedrops containing potent glucocorticoids may lead to CS, fluorometholone, a relatively less potent steroid, may also cause the syndrome, as in our case." Ustyol A, et al. Cushing’s syndrome caused by use of synthetic ocular steroid. Journal of Clinical Pharmacy and Therapeutics 42: 780-782, No. 6, Dec 2017. Available from: URL: http://doi.org/10.1111/jcpt.12573 - Turkey 803284590 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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