Additionally, her chronic AIHA came under control after 1 week of MDMP treatment, hemoglobinuria resolved and the bilirubin level decreased after 3 d of MDMP; the only side effect was a mild cushingoid
appearance that regressed after 2 months of the treatment, despite continuation of a relatively low dose of MP (48 mg/d).
appearance manifests as moon facies, truncal obesity, and "buffalo hump," and is very troubling to patients, but is uncommon at doses below the physiologic glucocorticoid replacement range.
Fizik muayenesinde, boyu 50-75 persentil arasinda, vucut agirligi 97 persentilde, solunum sayisi dakikada 24, vucut isisi 37[degrees]C, nabiz dakikada 108, cushingoid
gorunumde, dispneik, takipneik, interkostal ve subkostal retraksiyonlari vardi; disaridan hisilti duyuluyordu, dinlemekle her iki akcigerde bazallerde solunum sesleri azalmisti.
At that time she presented with Cushingoid
features and a metabolic alkalosis with pH 7.
As the patient was cushingoid
, the response to steroid therapy was not too favorable and her blood glucose increased by therapy.
Patients are usually eager to step down from steroids, given the Cushingoid
effects and concerns about long-term bone density.
The patient appeared chronically ill and had Cushingoid
apperence and purulent discharge were observed on the ulcerated hemangioma in the cervical region.
Akne, hirsutizm, guatr, akontozis nigrikans, cushingoid
gorunum, galaktore, Turner Sendromu bulgulari (kisa boy, yele boyun, ayrik meme baslari, dusuk kulak, 4.
Currently at 42 years of age, TH has Cushingoid
features and bruising related to capillary fragility secondary to long-term steroid use.
The most commonly reported treatment emergent adverse events were decreases in blood cortisol, urinary tract infection, and Cushingoid
It is interesting that even when adrenal-fatigue patients need larger doses to maintain normal energy levels, they don't appear Cushingoid
and feel great.