[Cushing syndrome in a HIV patient using inhaled steroids. Report of one case]
Alondra Frías1, Alex Ortiz2, Miriam Soto2
1Escuela de Postgrado, Facultad de Medicina, Universidad Católica del Maule, Talca, Chile, afriasoyarzun@gmail.com.
Abstract:
We report a 41-year-old man with HIV and a chronic obstructive pulmonary disease, treated for seven months with Fluticasone/Salmeterol and antiretroviral therapy (Lamivudine, Tenofovir, Atazanavir and Ritonavir). While using these medications, the patients developed a Cushing syndrome in a period of five months. After performing laboratory and imaging tests, it was concluded that the most probable cause of the syndrome was the interaction of inhaled steroids with Ritonavir. After discontinuing these medications the syndrome reverted in a period of 8 months.
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