Case Reports
doi: 10.1007/s00431-010-1165-z.
Epub 2010 Feb 26.
Cushing's syndrome and adrenal insufficiency after intradermal triamcinolone acetonide for keloid scars
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- PMID: 20186428
- DOI: 10.1007/s00431-010-1165-z
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Case Reports
Cushing's syndrome and adrenal insufficiency after intradermal triamcinolone acetonide for keloid scars
Eur J Pediatr.
2010 Sep.
Free article
Abstract
A 6-year-old girl was admitted to our hospital for excessive weight gain. On presentation, she had a typical Cushingoid appearance and hypertension. Laboratory analysis was indicative for an exogenous glucocorticoid source, showing values that were low for serum cortisol and adrenocorticotropin and for 24-h urinary glucocorticoid (metabolite) excretion. Five and 2 months before presentation, she was treated with intradermal triamcinolone acetonide for keloid scars. Recovery of intrinsic cortisol production occurred 12 months after the last steroid dose. Intradermal triamcinolone acetonide for keloid scars in children should be used with care taking into account the here reported complication.
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