Iatrogenic Cushing´s syndrome and crusted scabies due to misuse of topical steroid therapy.

Morán-Villaseñor, Edna; Palacios-López, Carolina; Sáez de Ocariz, Marimar; Orozco-Covarrubias, Luz; Durán-McKinster, Carola

doi:10.18233/apm39no2pp172-1781575

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Acta pediátrica de México

On-line version ISSN 2395-8235Print version ISSN 0186-2391

Abstract

MORAN-VILLASENOR, Edna et al. Iatrogenic Cushing´s syndrome and crusted scabies due to misuse of topical steroid therapy. Acta pediatr. Méx [online]. 2018, vol.39, n.2, pp.172-178. ISSN 2395-8235. https://doi.org/10.18233/apm39no2pp172-1781575.

Prolonged use of topical corticosteroids in children may be associated with both local and systemic adverse effects. We report a case of a 6-month-old female who developed Cushing´s syndrome and crusted scabies due to misuse of betamethasone in the diaper area for three months. Crusted scabies is a form of scabies that has the particularity of being more extensive and highly contagious, it is most commonly observed in immunosuppressed patients, in this case it was induced by the chronic application of topical corticosteroids.

Physicians

and parents should be aware of the potential side effects of topical corticosteroids, especially in thin and covered skin areas, like the diaper area, where absorption is increased.

Keywords : iatrogenic Cushing’s syndrome; crusted scabies; topical corticosteroids.

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