A RARE CASE OF TOPICAL CLOBETASOL-INDUCED HYPOCORTISOLISM
Archana Rajan*, Rintu Mary Roy, Sharon Susan Raj, Philip Finny and Swetha Reba Mathews
ABSTRACT
Clobetasol is a very active synthetic glucocorticoid. Adverse drug reactions (ADR) associated with clobetasol include gastrointestinal disorders, weight gain, hypersensitivity reactions, adrenal insufficiency (hypocortisolism), Cushing syndrome, etc. Among these, hypocortisolism is one of the most important adverse reactions. A case report of a 56-year-old female patient who was prescribed topical clobetasol and presented with features suggestive of hypocortisolism, namely, fatigue, tiredness, and sudden increase in body weight. This case report serves as a reminder for healthcare professionals regarding ADR of Clobetasol and on the need of healthcare education to patients when topical steroids are being prescribed.
Keywords: Clobetasol, Glucocorticoid, Hypocortisolism, HPA axis suppression.
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