title: Cushing's syndrome with suppression of the hypothalamic-pituitary-adrenal axis after intra-articular steroid injections.
abstract: A case of Cushing's syndrome after long term intra-articular corticosteroid injections is described. Prolonged suppression of the hypothalamic-pituitary-adrenal axis occurred as assessed by an insulin tolerance test 11 weeks after the last intra-articular injection. Replacement steroid therapy was required.
mesh_terms: D003480:Cushing Syndrome / Q000139:chemically induced*; D003864:Depression, Chemical; D006801:Humans; D007030:Hypothalamo-Hypophyseal System / Q000187:drug effects*; D007270:Injections, Intra-Articular; D008297:Male; D008875:Middle Aged; D010913:Pituitary-Adrenal System / Q000187:drug effects*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*
chemical_list: D014222:Triamcinolone Acetonide; C005900:triamcinolone hexacetonide