Adrenal Crisis Caused by Inhaled Fluticasone in an Adolescent with Cystic Fibrosis and Advanced Hepatopathy: A Case Report | Zendy

C. Denne | Zendy; Anna E Vogl-Voswinckel | Zendy; Armin Gruebl | Zendy; S. Burdach | Zendy

Open Access

Adrenal Crisis Caused by Inhaled Fluticasone in an Adolescent with Cystic Fibrosis and Advanced Hepatopathy: A Case Report

Author(s) -

C. Denne,

Anna E Vogl-Voswinckel,

Armin Gruebl,

S. Burdach

Publication year - 2012

Publication title -

case reports in pulmonology

Language(s) - English

Resource type - Journals

eISSN - 2090-6846

pISSN - 2090-6854

DOI - 10.1155/2012/913574

Subject(s) - fluticasone , medicine , cystic fibrosis , adrenal insufficiency , adrenal crisis , encephalopathy , corticosteroid , pediatrics , inhaled corticosteroids , intensive care medicine , asthma

Inhaled corticosteroids are widely accepted in the treatment of cystic fibrosis. Long-term use may cause systemic complications, especially high-dose fluticasone. We report about a young man who presented with encephalopathy after excessive physical activity caused by secondary adrenal insufficiency. He recovered quickly after systemic corticosteroid replacement therapy. This problem is considered to be underdiagnosed in clinical practice.

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