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关节腔内注射类固醇后出现下丘脑-垂体-肾上腺轴受抑制的库欣综合征。

Cushing's syndrome with suppression of the hypothalamic-pituitary-adrenal axis after intra-articular steroid injections.

作者信息

O'Sullivan M M, Rumfeld W R, Jones M K, Williams B D

出版信息

Ann Rheum Dis. 1985 Aug;44(8):561-3. doi: 10.1136/ard.44.8.561.

DOI:10.1136/ard.44.8.561
PMID:4026419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1001703/
Abstract

A case of Cushing's syndrome after long term intra-articular corticosteroid injections is described. Prolonged suppression of the hypothalamic-pituitary-adrenal axis occurred as assessed by an insulin tolerance test 11 weeks after the last intra-articular injection. Replacement steroid therapy was required.

摘要

本文描述了一例长期关节腔内注射皮质类固醇后发生库欣综合征的病例。在最后一次关节腔内注射11周后,通过胰岛素耐量试验评估发现下丘脑-垂体-肾上腺轴受到长期抑制,因此需要进行类固醇替代治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d560/1001703/ae860cae6109/annrheumd00263-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d560/1001703/ae860cae6109/annrheumd00263-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d560/1001703/ae860cae6109/annrheumd00263-0062-a.jpg

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本文引用的文献

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Clin Sci. 1953 Feb;12(1):15-31.
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Serum methylprednisolone levels following intra-articular injection of methylprednisolone acetate.关节腔内注射醋酸甲泼尼龙后的血清甲泼尼龙水平。
Ann Rheum Dis. 1981 Dec;40(6):571-4. doi: 10.1136/ard.40.6.571.
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关节内注射皮质类固醇治疗幼年特发性关节炎:安全性、有效性及影响疗效的因素。文献综述
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Cushing's syndrome and adrenal insufficiency after intradermal triamcinolone acetonide for keloid scars.曲安奈德皮损内注射后并发库欣综合征和肾上腺皮质功能不全致瘢痕疙瘩。
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