A 15-year-old girl was admitted in November 2012 due to Cushingoid
appearance for three years, the weight increase of 10 kg, and headache in the proceeding 1 year.
He gave one example of a patient who had been diagnosed with bullous pemphigoid several years before, and who was becoming Cushingoid
as a result of steroids.
A typical cushingoid
body habitus is reached by adipose tissue deposition that characteristically results in moon facies, a buffalo hump, and truncal obesity.
Physically, she exhibited cushingoid
appearance and complained of excessive weight gain and hair growth on the body.
14] Children with SAM who were admitted with one or a combination of clinical features such as coma, hypoglycaemia, hypothermia and bradycardia, had the worst survival probability compared with those who had other less SAM-related manifestations, such as herbal intoxication, Cushingoid
Nine (35%) patients developed side effects whilst on treatment; seven (27%) gained weight, four (15%) developed Cushingoid
features and three (11%) developed steroid-induced diabetes.
Complications encountered in Group B were namely, Cushingoid
appearance (n=12), GI upset (n=5), recurrence (n=6) and infection (n=3) (Fig.
His physical examination was unremarkable, and no cushingoid
features, petechiae, or abdominal striae were detected.
Follow up after six months and six doses of cyclophoshamide, revealed cushingoid
face, maintained oxygen saturation on room air and serum creatinine had improved to 1.
This is an important finding, as steroid toxicity is common and often leads to significant comorbidity such as Cushingoid
features, weight gain, mood disorders, glucose intolerance, osteoporosis, and increased susceptibility to infection and cardiovascular disease.
In another case, an 11-year-old boy with iridocyclitis developed a cushingoid
habitus and acanthosis nigricans after he was treated with prednisolone acetate 1% eye drops every 2 hours for 6 months (18).
Methods: The descriptive study was conducted at the Children's Hospital, Lahore, from April to September 2013, and comprised patients presenting with cushingoid
features and history of using nappy rash ointments.