Presentation
In the present study, we found dexamethasone (Dex) dramatically increased the expression of NPR-A in IMCD cells in vitro. [doi.org]
In this review, we present evidence that post-transcriptional mechanisms of action are highly important to the anti-inflammatory actions of glucocorticoids. [ncbi.nlm.nih.gov]
Clinically, there are paroxysms of cough, wheezing, chest tightness and cough were also observed in the present study. [pjms.com.pk]
Entire Body System
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Fatigue
Symptoms include a fatty hump between the shoulders, a round face, weight gain, irregular menstrual cycles, fatigue, and depression. For a complete list of severe side effects, please refer to the individual drug monographs. [drugs.com]
[…] can also result in Cushing’s syndrome, which can lead to: a fatty hump between your shoulders round face weight gain pink stretch marks weakened bones diabetes high blood pressure thin skin slow healing acne irregular menstrual cycles decreased libido fatigue [healthline.com]
Bruera 2004 presented mean pain scores, intensity of nausea and fatigue, as well as quality of life scores for both patient groups. [doi.org]
Gastrointestinal
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Nausea
This is called acute adrenal insufficiency and symptoms include irritability, nausea, joint pains, dizziness and low blood pressure. [drugs.com]
nausea due to cytostatic treatment) Toxic pulmonary edema Acute exacerbation of autoimmune diseases (e.g., multiple sclerosis, psoriasis) Acute exacerbation of COPD Cerebral edema Long-term Chronic, inflammatory diseases; (e.g., asthma;, chronic obstructive [amboss.com]
Bruera 2004 presented mean pain scores, intensity of nausea and fatigue, as well as quality of life scores for both patient groups. [doi.org]
[…] include: large head prominent forehead protruding jaw coarse-looking facial features, such as a broad nose very large hands and feet, with thick fingers and toes excessive sweating a very large appetite general weakness Some people also get headaches, nausea [healthdirect.gov.au]
Many people experience headaches, vision problems, or nausea from tumors in this area. [healthline.com]
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Abdominal Pain
Weakness, fatigue, weight loss, anorexia, vomiting, flank or abdominal pain, constipation and diarrhea are additional symptoms seen in some patients due to hypocortisolemia. [orpha.net]
Leukotriene receptor inhibitors may also be used to reduce the low-dose regimens of corticosteroid inhalers.4 The adverse reactions of Leukotriene inhibitors may appear in the form of headache, abdominal pain, nausea, dyspepsia, ALT elevation, myalgia [pjms.com.pk]
These drugs can also cause tummy upset (most commonly diarrhoea and cramping abdominal pain) shortly after injections. About 20% of patients develop gallstones after long-term use but this does not usually cause symptoms. [yourhormones.info]
If not treated, adrenal insufficiency may result in abdominal pains, vomiting, muscle weakness and fatigue, depression, low blood pressure, weight loss, kidney failure, changes in mood and personality, and shock (adrenal crisis).[4] An adrenal crisis [en.wikipedia.org]
Adrenal suppression Weakness/fatigue Malaise Nausea Vomiting Diarrhea Abdominal pain Headache (usually in the morning) Fever Anorexia/weight loss Myalgia Arthralgia Psychiatric symptoms Poor linear growth in children Poor weight gain in children Clinical [intechopen.com]
Musculoskeletal
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Morning Stiffness
Improvement has been documented for all clinical parameters, including pain scales, joint scores, morning stiffness and fatigue, but also in parameters of the acute phase reaction (that is, erythrocyte sedimentation rate and C-reactive protein). [arthritis-research.biomedcentral.com]
Workup
(See Presentation and Workup.) Robert Wadlow, 19 years of age, with his father (postcard photo prior to 1937). Courtesy of Wikimedia Commons (). [medscape.com]
Addison Disease workup at eMedicine Further reading[edit] Bornstein, SR; Allolio, B; Arlt, W; Barthel, A; Don-Wauchope, A; Hammer, GD; Husebye, ES; Merke, DP; Murad, MH; Stratakis, CA; Torpy, DJ (February 2016). [en.wikipedia.org]
noncommercial) study to recruit large numbers of patients at the same disease stage and receive the same diagnostic and therapeutic workup measured centrally in the same laboratory and by the same neuroradiologists. [erc.bioscientifica.com]
Treatment
The treatment of these patients requires a systematic approach to rule out underlying conditions that lead to steroid resistance or treatment failure, as well as the use of alternative strategies to inhibit tissue inflammation. [ncbi.nlm.nih.gov]
Beginning during steroid treatment, and persisting for over 3 years after stopping treatment, he showed a significant decline from his pre-morbid academic performance and estimated IQ, verified by longitudinally administered testing and school records [doi.org]
Its unintended mineralocorticoid action may cause salt and water retention.DB11750ClobetasolClobetasol is under investigation for the treatment of Scleroderma. [drugbank.ca]
Prognosis
Prognosis The prognosis is good for patients who are diagnosed and treated early. Only when left untreated is FGD a disease with high morbidity (neurological sequelae) and mortality. [orpha.net]
Treatment and prognosis Treatment of gigantism can be challenging, as transsphenoidal surgery (which is considered first line therapy) often does not control growth hormone levels 1. [radiopaedia.org]
(See Prognosis, Treatment, and Medication.) Did this answer your question? Yes No Additional feedback? (Optional) Thank you for your feedback! [medscape.com]
(See Prognosis, Treatment, and Medication.) [emedicine.medscape.com]
Etiology
The etiology of gigantism will clearly depend on the definition. [radiopaedia.org]
Etiology FGD is due, in most cases, to defects in the adrenocorticotropin (ACTH) receptor, or its signaling pathway, resulting in a failure of the cells of zona fasciculata in the adrenal cortex to respond appropriately to adrenocorticotrophic hormone [orpha.net]
Abnormal expression and distribution heat stroke protein 90:potential etiologic immunoendocrinemechanism of glucocorticoid resistance inidiophatic nephritic syndrome. J neprol Dial. 2006;34:496-500. Zhang X, Abbot FG, Thomas V. [jkb.ub.ac.id]
(See Pathophysiology and Etiology.) GH acts indirectly, by stimulating the formation of IGF hormones (also called somatomedins). [emedicine.medscape.com]
Epidemiology
Born too soon: the global epidemiology of 15 million preterm births. Reprod Health 2013; 10(Suppl 1):S2. [ Links ] 3. Crowley P. Prophylactic corticosteroids for preterm birth. Cochrane Database Syst Rev 2000; 2:CD000065. [ Links ] 4. [scielo.edu.uy]
Descriptive epidemiology of asthma. Lancet 1997;350:S111-SIII 14. Bumey PGJ. Epidemiologic trends. Asthma 1997;1:35. 15. Seaton A, Godden DJ, Brown K. Increase in asthma: A more toxic environment or a more susceptible population. [pjms.com.pk]
Summary Epidemiology The epidemiology of pituitary gigantism is unknown. Among acromegaly populations, pediatric and adolescent onset cases are rare ( 5%). [orpha.net]
Epidemiology. 2005;16(3):360–366 [PubMed] [Google Scholar] 25. McLuckie AE, Savage RW. Atrial fibrillation following pulse methylprednisolone therapy in an adult. Chest. 1993;104(2):622–623 [PubMed] [Google Scholar] 26. [ncbi.nlm.nih.gov]
Pathophysiology
VIVO Pathophysiology In contrast to loss of mineralocorticoids, failure to produce glucocorticoids is not acutely life-threatening. [vivo.colostate.edu]
Glucocorticoid induced osteoporosis: pathophysiology and therapy. Osteoporosis Int. 2007;18(10):1319–1328 [PubMed] [Google Scholar] 10. [ncbi.nlm.nih.gov]
Licorice is known to be an inhibitor of this enzyme and chronic consumption can result in a condition known as pseudohyperaldosteronism.[2] Pathophysiology[edit] Hyperaldosteronism (the syndrome caused by elevated aldosterone) is commonly caused by either [en.wikipedia.org]
(See Pathophysiology and Etiology.) GH acts indirectly, by stimulating the formation of IGF hormones (also called somatomedins). [emedicine.medscape.com]
Then the side effects of GCs will be discussed along with the pathophysiological mechanisms. While this section was being written, current literature and databases have been utilized. 2. [intechopen.com]
Prevention
Current literature suggests that androgens do not prevent atrophy but may retard growth suppression accompanying glucocorticoid treatment. [ncbi.nlm.nih.gov]
The activated hormone receptor interacts with specific transcription factors and prevents the transcription of targeted genes. Glucocorticoids are able to prevent the transcription of any of immune genes, including the IL-2 gene. [chemeurope.com]
If you have low bone density and a high risk of breaking a bone, your doctor may suggest medicine to prevent your bones from getting weaker. [rheumatology.org]
Your doctor may wean you off of your medication slowly to prevent withdrawal. [healthline.com]