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Coulibaly B, Smati-Grangeon S, Cariou B, Hadjadj S, Drui D. Exogenous Cushing's syndrome secondary to the use of depigmenting dermatocorticosteroids. ANNALES D'ENDOCRINOLOGIE 2024:S0003-4266(24)00095-7. [PMID: 38876438 DOI: 10.1016/j.ando.2024.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2024] [Revised: 06/04/2024] [Accepted: 06/06/2024] [Indexed: 06/16/2024]
Affiliation(s)
- Bazoumana Coulibaly
- Department of Endocrinology Diabetology and Nutrition, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France
| | - Sarra Smati-Grangeon
- Department of Endocrinology Diabetology and Nutrition, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France; Inserm, CNRS, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France
| | - Bertrand Cariou
- Department of Endocrinology Diabetology and Nutrition, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France; Inserm, CNRS, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France
| | - Samy Hadjadj
- Department of Endocrinology Diabetology and Nutrition, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France; Inserm, CNRS, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France
| | - Delphine Drui
- Department of Endocrinology Diabetology and Nutrition, Institut du Thorax, Nantes University, CHU de Nantes, 44000 Nantes, France.
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Hodé AK, Dédjan H. Adrenocortical corticotropic insufficiency secondary to the use of cosmetic dermocorticoids. Arch Clin Cases 2021; 6:81-84. [PMID: 34754913 PMCID: PMC8565711 DOI: 10.22551/2019.25.0604.10158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Voluntary depigmentation or artificial depigmentation for cosmetic purposes is a very widespread phenomenon in Africa. The prevalence reported by several authors varies from 26 to 67%. The complications linked to their use are numerous and less known by the population. We report two cases of acute adrenocortical insufficiency secondary to the use of cosmetic dermocorticoids in diabetic patients aged 40 and 53 years respectively. They were admitted with signs of ketoacidosis decompensation which were similar to signs of acute adrenal insufficiency. The cases’ history revealed that they were using dermocorticoids. The clinical examination identified in both patients a systemic inflammatory response syndrome and general depigmentation. The 40-year-old patient had erysipelas of the left leg and the 53-year-old patient had a diabetic foot with a neuropathic and infectious mechanism. Laboratory tests revealed hyperglycemia, massive acetonuria and a low 8-hour cortisol. The clinical outcome was favorable after hydro-electrolytic rehydration, hourly intravenous insulin therapy, hydrocortisone and antibiotic therapy. Corticotropic insufficiency secondary to voluntary depigmentation by dermocorticoids is a complication that should be systematically sought in any subject using dermocorticoids. Hydrocortisone substitution should be done without delay in the event of confirmed corticotropic insufficiency.
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Affiliation(s)
| | - Hubert Dédjan
- Department of Endocrinology, Metabolism and Nutrition, CNHU-HKM Cotonou, Bénin
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Márquez Pardo R, Pérez Pelayo M, Aragoneses Calvo A, Gallego Rodriguez S, Martínez Barbeito MB. Topical corticosteroids and secondary adrenal insufficiency: a relationship in the shade. ENDOCRINOLOGIA Y NUTRICION : ORGANO DE LA SOCIEDAD ESPANOLA DE ENDOCRINOLOGIA Y NUTRICION 2013; 60:e19-e20. [PMID: 24076040 DOI: 10.1016/j.endonu.2013.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2011] [Revised: 03/27/2013] [Accepted: 04/02/2013] [Indexed: 06/02/2023]
Affiliation(s)
- Rosa Márquez Pardo
- Servicio de Endocrinología y Nutrición, Hospital Severo Ochoa, Leganés, Madrid, España.
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