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Complications of steroid use on Mt. Everest
Bishnu Hari Subedi1, Jhapindra Pokharel, Torrey L Goodman
1Nepal International Clinic, Laldurbar, Kathmandu, Nepal. docbishnu@gmail.com
Abstract:
Steroids are used for the prevention and treatment of high-altitude illnesses. However, these agents can cause significant side effects. We report a case of altered mental status, gastrointestinal bleeding, skin rash, and avascular necrosis in a climber taking prophylactic dexamethasone prior to an attempt to climb Mt Everest. High-altitude cerebral edema (HACE), steroid toxicity, and acute adrenal crisis can have similar clinical presentations. Differentiating between these life-threatening conditions at high altitude is essential for successful treatment.
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