A woman with Cushing's syndrome after use of an Indonesian herb: a case report
Oldenburg-Ligtenberg, P.C.; van der Westerlaken, M.M.L.
Netherlands Journal of Medicine 65(4): 150-152
2007
ISSN/ISBN: 0300-2977 PMID: 17452765 Document Number: 612382
A 69-year-old woman developed Cushing's syndrome after long-term use of Sinatren, an Indonesian over the-counter drug, which was pharmacologically analysed three times before the correct content was discovered. After discontinuation she developed adrenal insufficiency, for which she needed substitution of steroids. Physicians should be aware of the presence of corticosteroids in over-the-counter products, that are not mentioned on the instruction leaflet.