Topical treatment of uveitis resulting in adrenal insufficiency.
The adverse effects of corticosteroids are well-known and occur more frequently when corticosteroids are used perorally or intravenously. The management of uveitis, which normally consists of topical corticosteroids and mydriates, can be challenging. We report a case in which continuous use of topical corticosteroids resulted in adrenal insufficiency and obesity.


CONCLUSIONS
When topical corticosteroids are used over longer periods, hypophysis-pituitary-adrenal (HPA) function should be carefully monitored.
Kröger
Liisa
L
Department of Paediatrics, Kuopio University Hospital, Kuopio, Finland. liisa.kroger@kuh.fi
Kotaniemi
Kaisu
K
Jääskeläinen
Jarmo
J
D000287:Administration, Topical; D000309:Adrenal Insufficiency / Q000139:chemically induced*; D002675:Child, Preschool; D003907:Dexamethasone / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D009765:Obesity / Q000139:chemically induced*; D014605:Uveitis / Q000188:drug therapy*
D005938:Glucocorticoids; D003907:Dexamethasone