Reactions 1704, p321 - 2 Jun 2018 Steroid-induced diabetes, delirium, electrolyte imbalance and urinary tract infection: case report A 91-year-old woman developed steroid-induced diabetes, delirium, electrolyte imbalance and urinary tract infection during treatment with prednisone for suspected giant cell arteritis [route not stated; not all durations of treatment to reactions onsets and outcomes stated]. The woman presented with photophobia and acute onset, bilateral temporal headache of one day duration. On examination, giant cell arteritis was suspected and prednisone 20mg once a day was started. She responded to the treatment and felt better in a few days. However, she developed steroid- induced diabetes. The woman was treated with insulin. At week 10 of the prednisone treatment, she needed a short hospitalisation due to electrolyte imbalance, delirium and urinary tract infection. Consequently, prednisone was quickly tapered off to reduce further adverse effects. However, she developed weight loss, poor appetite and skin infection following discontinuation of prednisone. She was treated and a pulse of steroid was started. Her vasculitis gradually improved. She was further treated with a slow taper of prednisone with continued clinical and laboratory monitoring. Eventually, she returned to baseline, and insulin was stopped by nine months. Author comment: "[S]he developed steroid-induced diabetes and needed insulin during her treatment course. At week 10 of prednisone, she was briefly hospitalized after developing delirium, electrolyte disturbances and a urinary tract infection. She was quickly tapered off prednisone to minimize further adverse side effects. . ." Larrain C, et al. Giant cell arteritis in the oldest old. Journal of the American Geriatrics Society 66 (Suppl. 2): S19-S20 abstr. A23, Apr 2018. Available from: URL: http://doi.org/10.1111/jgs.15376 [abstract] - USA 803323435 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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