title: Management issues with exogenous steroid therapy.
abstract: Glucocorticoids (GCs) are extensively used for various inflammatory and autoimmune disorders, but long term use of these agents is not without complications. Almost every GC formulations (e.g. oral, topical, inhaled, etc.) can cause systemic side effects. It can range from minor side effects (e.g. weight gain) to life-threatening effects (e.g. adrenal suppression, sepsis, etc.), which may require immediate intervention. Therefore, the decision to institute steroid therapy always requires careful consideration of the relative risk and benefit in each patient. The objectives of this study are to discuss monitoring of patients on GCs and management of the complications of GCs.
authors.affiliation: Department of Endocrinology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
authors.forename: Hiren
authors.initials: H
authors.lastname: Patt
authors.affiliation: Department of Endocrinology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
authors.forename: Tushar
authors.initials: T
authors.lastname: Bandgar
authors.affiliation: Department of Endocrinology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
authors.forename: Anurag
authors.initials: A
authors.lastname: Lila
authors.affiliation: Department of Endocrinology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
authors.forename: Nalini
authors.initials: N
authors.lastname: Shah
keywords: Adrenal suppression; avascular necrosis; exogenous cushing's syndrome; glucocorticoids-induced osteoporosis