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  • Title: Cushing syndrome with secondary adrenal insufficiency from concomitant therapy with ritonavir and fluticasone.
    Author: Johnson SR, Marion AA, Vrchoticky T, Emmanuel PJ, Lujan-Zilbermann J.
    Journal: J Pediatr; 2006 Mar; 148(3):386-8. PubMed ID: 16615973.
    Abstract:
    We present 2 cases of Cushing syndrome with secondary adrenal insufficiency from concomitant use of ritonavir and inhaled corticosteroids in children with human immunodeficiency virus infection. These cases highlight the need for special consideration when treatment with an inhaled/intranasal corticosteroid is indicated in children receiving antiretroviral therapy.
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