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  • Title: [Review of online prescriptions of topical steroids for an obese boy with iatrogenic Cushing's syndrome].
    Author: Dalby S, Østergaard I.
    Journal: Ugeskr Laeger; 2017 Aug 28; 179(35):. PubMed ID: 28874240.
    Abstract:
    A 14-year-old boy with obesity developed iatrogenic Cushing's syndrome after having received topical steroid therapy for psoriasis. The diagnosis was suspected when he developed striae, moon face and stunted growth. A review of the Danish online registration of prescriptions: Shared Medicine Card, revealed that an amount of 5.1 kg topical steroids had been prescribed during a period of twelve months. Blood tests showed stunted cortisol release. Primary obesity in children is associated with increased growth. Decreased growth warrants further investigations for an underlying condition. This case illustrates the usefulness of Shared Medicine Card, especially when multiple physicians are involved.
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