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Lost in the Mist : Acute Adrenal Crisis Following Intranasal Fluticasone Propionate Overuse
Joint Authors
Harris, Ryan Kendall
Sullivan, Tollin
Loaiza-Bonilla, Arturo
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-08-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Acute adrenal crisis in relation to nasal steroid overuse has been reported very scantly in English medical literature and remains an underdiagnosed condition.
Case presentation.
A 55 year-old male presented with altered mental status, retrograde amnesia, fluid refractory hypotension, abdominal pain, fever, and chest pain.
Physical examination revealed amnesia, bradypsychia, tachycardia, decreased muscle tone and hyporeflexia.
Overuse of nasal steroid was suspected by history.
Random early morning cortisol level was < 0.2 mcg/dL.
The patient was started on hydrocortisone and within 24 hours he had a full recovery.
Conclusion.
This one-of-a-kind case describes acute adrenal crisis secondary to withdrawal from inhaled nasal corticosteroids overuse in a patient with particular risk factors.
Prevention and early recognition of this disorder can significantly reduce its morbidity and mortality.
American Psychological Association (APA)
Loaiza-Bonilla, Arturo& Sullivan, Tollin& Harris, Ryan Kendall. 2010. Lost in the Mist : Acute Adrenal Crisis Following Intranasal Fluticasone Propionate Overuse. Case Reports in Medicine،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-502902
Modern Language Association (MLA)
Loaiza-Bonilla, Arturo…[et al.]. Lost in the Mist : Acute Adrenal Crisis Following Intranasal Fluticasone Propionate Overuse. Case Reports in Medicine No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-502902
American Medical Association (AMA)
Loaiza-Bonilla, Arturo& Sullivan, Tollin& Harris, Ryan Kendall. Lost in the Mist : Acute Adrenal Crisis Following Intranasal Fluticasone Propionate Overuse. Case Reports in Medicine. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-502902
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-502902