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  • Title: A woman with Cushing's syndrome after use of an Indonesian herb: a case report.
    Author: Oldenburg-Ligtenberg PC, van der Westerlaken MM.
    Journal: Neth J Med; 2007 Apr; 65(4):150-2. PubMed ID: 17452765.
    Abstract:
    A 69-year-old woman developed Cushing's syndrome after long-term use of Sinatren, an Indonesian over the-counter drug, which was pharmacologically analysed three times before the correct content was discovered. After discontinuation she developed adrenal insufficiency, for which she needed substitution of steroids. Physicians should be aware of the presence of corticosteroids in over-the-counter products, that are not mentioned on the instruction leaflet.
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