Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections | Zendy

Joyce Leary | Zendy; Arthur Swislocki | Zendy

Open Access

Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections

Author(s) -

Joyce Leary,

Arthur Swislocki

Publication year - 2013

Publication title -

case reports in endocrinology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.26

H-Index - 6

eISSN - 2090-6501

pISSN - 2090-651X

DOI - 10.1155/2013/617042

Subject(s) - medicine , context (archaeology) , epidural steroid injection , cushing syndrome , radicular pain , steroid , complication , incidence (geometry) , surgery , anesthesia , low back pain , hormone , lumbar , pathology , paleontology , physics , alternative medicine , optics , biology

Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complications of epidural steroid treatment. We present an additional case of iatrogenic Cushing's Syndrome and adrenal suppression in a middle-aged woman who received three epidural steroid injections over a four-month period. We review this case in the context of previous cases and discuss diagnostic and management issues.

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