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Multiple Adverse Effects of Systemic Corticosteroids: A Case Report
Divya Satyanarayanasetty1, Kavitha Pawar2, Pratibha Nadig3
1Post Graduate, Department of Pharmacology, Vydehi Institute of Medical Sciences & Research Centre , Bangalore, India .
Self-medication with corticosteroids can lead to serious health issues like osteoporosis, cataracts, and hormonal suppression. This case highlights the severe adverse effects of long-term glucocorticoid misuse.
Area of Science:
- Endocrinology
- Ophthalmology
- Rheumatology
Background:
- Corticosteroids are widely used for various medical conditions.
- Long-term administration is associated with significant adverse effects, including osteoporosis and cataracts.
- Individual adverse effects have been extensively reported.
Observation:
- A 55-year-old female presented with acute exacerbation of bronchial asthma.
- She reported self-medication with systemic glucocorticoids.
- This self-medication led to multiple adverse effects.
Findings:
- The patient developed bilateral cataracts.
- Osteoporosis was diagnosed.
- Diabetes mellitus was identified.
- Hypothalamic-pituitary-adrenal (HPA) axis suppression was confirmed.
Implications:
- Highlights the risks of self-medication with corticosteroids.
- Underscores the importance of medical supervision for glucocorticoid therapy.
- Demonstrates the potential for multiple, severe adverse effects from systemic glucocorticoid misuse.
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