Lost in the mist: acute adrenal crisis following intranasal fluticasone propionate overuse. (Record no. 4380)

MARC details
000 -LEADER
fixed length control field 01874nam a22003017a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190621s20102010 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 20862350
245 ## - TITLE STATEMENT
Title Lost in the mist: acute adrenal crisis following intranasal fluticasone propionate overuse.
251 ## - Source
Source Case Reports in Medicine. 2010, 2010.
252 ## - Abbreviated Source
Abbreviated source Case Report Med. 2010, 2010.
253 ## - Journal Name
Journal name Case reports in medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2010
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2010
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2019-06-21
520 ## - SUMMARY, ETC.
Abstract Introduction. Acute adrenal crisis in relation to nasal steroid overuse has been reported very scantly in English medical literature and remains an underdiagnosed condition. Case presentation. A 55 year-old male presented with altered mental status, retrograde amnesia, fluid refractory hypotension, abdominal pain, fever, and chest pain. Physical examination revealed amnesia, bradypsychia, tachycardia, decreased muscle tone and hyporeflexia. Overuse of nasal steroid was suspected by history. Random early morning cortisol level was < 0.2 mcg/dL. The patient was started on hydrocortisone and within 24 hours he had a full recovery. Conclusion . This one-of-a-kind case describes acute adrenal crisis secondary to withdrawal from inhaled nasal corticosteroids overuse in a patient with particular risk factors. Prevention and early recognition of this disorder can significantly reduce its morbidity and mortality.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element PubMed-not-MEDLINE -- Not indexed
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Medstar Harbor Hospital
657 ## - INDEX TERM--FUNCTION
Medline publication type Case Reports
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Harris, Ryan Kendall
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Loaiza-Bonilla, Arturo
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sullivan, Tollin
790 ## - Authors
All authors Harris RK, Loaiza-Bonilla A, Sullivan T
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1155/2010/846534">https://dx.doi.org/10.1155/2010/846534</a>
Public note https://dx.doi.org/10.1155/2010/846534
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 06/21/2019   20862350 20862350 06/21/2019 06/21/2019 Journal Article

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