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Titi L. Sugito
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Medicine & Pharmacology

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Cushings syndrome induced by misuse of topical corticosteroids in a child with psoriasis vulgaris Rahmayunita, Githa; Pulungan, Aman B.; Wiryadi, Benny E.; Wisesa, Tina W.; Sugito, Titi L.; Boediardja, Siti A.
Medical Journal of Indonesia Vol 17, No 4 (2008): October-December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (18683.375 KB) | DOI: 10.13181/mji.v17i4.323

Abstract

Prolonged exc)genous corticosteroid aclministration may cause Cushingi syndrome. Howeve7 the development of Cushings syndrome from topical corlico,sleroid therapy is rare. A  7%-year- old boy has sufferedfrom psoriasis vulgaris since the age of nvo. He was treated by a dermatologist with a mixlure of 3% salicylic acid, 50% liquor carbonis delergens, 10 grams of 0.1% mometasonefuroate ointment, ancl 5 grams combination cream consisting of 0.1% gentamycin sulphate and 0.0250 Àfiuocinolone acetonide. The parents continued the treatment without the doctorb supervision. They applied it lo all over the patients body three times dailyfor 3% years. The patient showed milcl hypertension, moonface, btffilo hump, obesity, multiple striae, and suppression of hypothalamus-pituitary-adrenal axis. The bone minerttl density and bone age examinations revealed normal results. Children are more prone to develop systemic side fficts of topical medicalion beccntse o/their higher ratio of btal body surface area to body weight. Corticosteroid must be used with great care, especially in children. It is very important to inform the parents abott polential side effects of corticosteroid. (Med J Indones 2008; 17: 281-6)Keywords: Cushings syndrome - topical corticosleroids, sicle fficts
Co-Authors Aman B. Pulungan Benny E. Wiryadi Githa Rahmayunita Siti A. Boediardja Tina W. Wisesa