Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections

Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complic...

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Autores principales: Leary, Joyce, Swislocki, Arthur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749537/
https://www.ncbi.nlm.nih.gov/pubmed/23991341
http://dx.doi.org/10.1155/2013/617042
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author Leary, Joyce
Swislocki, Arthur
author_facet Leary, Joyce
Swislocki, Arthur
author_sort Leary, Joyce
collection PubMed
description Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complications of epidural steroid treatment. We present an additional case of iatrogenic Cushing's Syndrome and adrenal suppression in a middle-aged woman who received three epidural steroid injections over a four-month period. We review this case in the context of previous cases and discuss diagnostic and management issues.
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spelling pubmed-37495372013-08-29 Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections Leary, Joyce Swislocki, Arthur Case Rep Endocrinol Case Report Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complications of epidural steroid treatment. We present an additional case of iatrogenic Cushing's Syndrome and adrenal suppression in a middle-aged woman who received three epidural steroid injections over a four-month period. We review this case in the context of previous cases and discuss diagnostic and management issues. Hindawi Publishing Corporation 2013 2013-08-07 /pmc/articles/PMC3749537/ /pubmed/23991341 http://dx.doi.org/10.1155/2013/617042 Text en Copyright © 2013 J. Leary and A. Swislocki. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Leary, Joyce
Swislocki, Arthur
Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
title Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
title_full Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
title_fullStr Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
title_full_unstemmed Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
title_short Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections
title_sort hypothalamic-pituitary-adrenal suppression and iatrogenic cushing's syndrome as a complication of epidural steroid injections
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749537/
https://www.ncbi.nlm.nih.gov/pubmed/23991341
http://dx.doi.org/10.1155/2013/617042
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