Unrecognised Cushing's syndrome and adrenal suppression due to topical clobetasol propionate
Young, C.A.; Williams, I.R.; MacFarlane, I.A.
British Journal of Clinical Practice 45(1): 61-62
1991
ISSN/ISBN: 0007-0947 PMID: 1931550 Document Number: 378787
A 53-year-old man with cushingoid appearance--obesity, osteoporosis causing lumbar and thoracic vertebral collapse and a past history of hypertension and depression presented with symptoms and signs of adrenocortical insufficiency. He denied the use of corticosteroid medication. However, it was eventually discovered that he had used clobetasol propionate (Dermovate), a potent topical steroid cream, for five years. The development of adrenal insufficiency symptoms coincided with the withdrawal of the cream.