1.
J Ayub Med Coll Abbottabad
; 32(1): 152, 2020.
Article
in English
| MEDLINE
| ID: mdl-32468778
ABSTRACT
Eleven months old female patient presented to paediatric out patient with parents concerned about her facial swelling. Upon examination child's weight and height for age were normal on her percentiles, she had a cushingoid facies with plethoric cheeks (Figure-1,2) though generalized oedema was absent and there was centripetal obesity with some muscle wasting (Figure-3,4). Systemic examination was normal excluding blood pressure which was high for her age. Electrolytes and cortisol levels were normal. On further inquiry it was revealed that she had been using a nappy rash cream containing a potent steroid, i.e., fluticasone for 2 months and this was identified as a cause for her cushingoid features.
Subject(s)
Cushing Syndrome/chemically induced , Hypertension/chemically induced , Skin Cream/adverse effects , Anti-Inflammatory Agents/adverse effects , Anti-Inflammatory Agents/therapeutic use , Diaper Rash/drug therapy , Female , Fluticasone/adverse effects , Fluticasone/therapeutic use , Humans , Iatrogenic Disease , Infant , Ointments/adverse effects , Ointments/chemistry , Ointments/therapeutic use , Skin Cream/chemistry , Skin Cream/therapeutic use
2.
J Coll Physicians Surg Pak
; 29(6): 590-591, 2019 Jun.
Article
in English
| MEDLINE
| ID: mdl-31133165