2018, Number 2
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Acta Pediatr Mex 2018; 39 (2)
Iatrogenic Cushing´s syndrome and crusted scabies due to misuse of topical steroid therapy
Morán-Villaseñor E, Palacios-López C, Sáez OM, Orozco-Covarrubias L, Durán-McKinster C
Language: Spanish
References: 16
Page: 172-178
PDF size: 758.56 Kb.
ABSTRACT
Prolonged use of topical corticosteroids in children may be associated
with both local and systemic adverse effects. We report a case of a
6-month-old female who developed Cushing´s syndrome and crusted
scabies due to misuse of betamethasone in the diaper area for three
months. Crusted scabies is a form of scabies that has the particularity
of being more extensive and highly contagious, it is most commonly
observed in immunosuppressed patients, in this case it was induced
by the chronic application of topical corticosteroids.
Physicians and parents should be aware of the potential side effects
of topical corticosteroids, especially in thin and covered skin areas,
like the diaper area, where absorption is increased.
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