Bez Dermatiti Nedeniyle Kullanılan Lokal Steroide Bağlı Gelişen İatrojenik Cushing Sendromlu Beş Vaka

Year 2008, Volume: 8 Issue: 3, 191 - 193, 01.07.2008

Ali Ataş Alpay Çakmak Dost Zeyrek Salih Durak

Abstract

Bez dermatiti, sütçocuklarında en yaygın görülen hastalık- larından biri olup, en sık 9-12. aylarda rastlanır. Bez der- matitinin hafif formları kendiliğinden düzebilirken daha ciddi formları tıbbi tedaviye gereksinim duyar. Diğer topi- kal ajanlara yanıt alınamayan orta ve ciddi bez dermatit- lerinde kısa süreli, düşük potensli kortikosteroidler yararlı olabilir. Kullanılan kortikosteroid potent olduğunda veya uzun süreli kullanıldığında iatrojenik Cushing sendromuna neden olabilir. Bu çalışmada bez dermatiti tedavisi sırasın- da, topikal potent kortikosteroid olan klobetazol 17 propi- onat Dermovate % 0.05 krem kullanımı sonucu, iatroje- nik Cushing sendromu gelişen beş kız vaka sunulmuştur

Keywords

Cushing, iatrojenik, bez dermatiti

Five Cases of Iatrogenic Cushing’s Syndrome Due to the Use of A Topical Steroid in Diaper Dermatitis

Abstract

Diaper dermatitis is one of the most common disorders in infants. The incidence of diaper dermatitis is highest in those between 9 and 12 months of age. While mild forms heal spontaneously, more severe forms may require medi- cal attention. A short duration of mild corticosteroid app- lication may be useful in moderate to severe cases of dia- per dermatitis which have not responded to other topical agents. Iatrogenic Cushing’s syndrome may be due to extended use of steroid or the potency of topical corticos- teroids. We report five cases of Cushing’s syndrome due to the use of a topical potent corticosteroid clobetazole 17 propionate 0.05 % cream in diaper dermatitis

Keywords

Cushing, iatrogenic, diaper dermatitis

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