Repository Citation
Hitchcock, Julia and Gupta, Ankur, "Adrenal Insufficiency Following Intraarticular Steroid Injections" (2021). Medical Student Research Symposium Abstracts and Posters. 3.
https://corescholar.libraries.wright.edu/msrs/2021/poster_presentations_2/3
Start Date
29-4-2021 7:25 PM
End Date
29-4-2021 7:35 PM
Document Type
Poster
Description
A 59-year-old woman presented with fatigue and 50 pounds weight gain in the last two years.She has been receiving triamcinolone steroid injections in both knees every three months for the last two years.She has also been receiving triamcinolone injections in ankles sporadically during this time period. Laboratory evaluation showed undetectable serum cortisol and inappropriately normal serum adrenocorticotropic hormone (ACTH). The patient underwent cosyntropinstimulation test confirming secondary adrenal insufficiency (Table 1).Magnetic resonance imaging (MRI) showed a normal pituitary gland with no tumors.She was started on hydrocortisone 10mg twice daily with improvement in fatigue.The patient was recommended to minimize steroid injections. The plan is to taper steroid subsequently.
Abstract - Hitchcock
Included in
Endocrinology, Diabetes, and Metabolism Commons, Internal Medicine Commons, Medical Education Commons
Adrenal Insufficiency Following Intraarticular Steroid Injections
A 59-year-old woman presented with fatigue and 50 pounds weight gain in the last two years.She has been receiving triamcinolone steroid injections in both knees every three months for the last two years.She has also been receiving triamcinolone injections in ankles sporadically during this time period. Laboratory evaluation showed undetectable serum cortisol and inappropriately normal serum adrenocorticotropic hormone (ACTH). The patient underwent cosyntropinstimulation test confirming secondary adrenal insufficiency (Table 1).Magnetic resonance imaging (MRI) showed a normal pituitary gland with no tumors.She was started on hydrocortisone 10mg twice daily with improvement in fatigue.The patient was recommended to minimize steroid injections. The plan is to taper steroid subsequently.
