Injecting epidural and intra-articular triamcinolone in HIV-positive patients on ritonavir: Beware of iatrogenic Cushing's syndrome

MavikiM.; CowleyP.; MarmeryH.

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Injecting epidural and intra-articular triamcinolone in HIV-positive patients on ritonavir: Beware of iatrogenic Cushing's syndrome

机译：在利托那韦的HIV阳性患者中注射硬膜外和关节内曲安奈德：谨防医源性库欣综合征

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We report two HIV-positive patients on highly active antiretroviral therapy (HAART) who developed clinical features in keeping with secondary adrenal suppression following epidural and subacromial triamcinolone. Both patients were on ritonavir-boosted protease inhibitor containing HAART and both required maintenance hydrocortisone therapy following diagnosis. This highlights the need for radiologists and clinicians practicing these injections to be aware of this complication, to elicit an accurate drug history, and to take adequate measures to minimize these adverse effects.

机译：我们报道了两名接受高活性抗逆转录病毒治疗（HAART）的HIV阳性患者，这些患者在硬膜外和肩峰间曲安奈德后出现了继发性肾上腺抑制的临床特征。两名患者均接受含有HAART的利托那韦增强蛋白酶抑制剂，诊断后均需要维持氢化可的松治疗。这凸显了进行这些注射的放射科医生和临床医生需要意识到这种并发症，准确的药物史并采取适当措施以最大程度地减少这些不良反应。

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《Skeletal radiology》 |2013年第2期|共3页
作者
MavikiM.; CowleyP.; MarmeryH.;
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正文语种 eng
中图分类放射医学;
关键词
Corticosteroid; Cushing's syndrome; Epidural; HIV; Ritonavir; Triamcinolone;

机译：皮质类固醇;库欣综合征;硬膜外;艾滋病毒;利托那韦;曲安西龙;

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1. Injecting epidural and intra-articular triamcinolone in HIV-positive patients on ritonavir: Beware of iatrogenic Cushing's syndrome [J] . MavikiM., CowleyP., MarmeryH. Skeletal radiology . 2013,第2期

机译：在利托那韦的HIV阳性患者中注射硬膜外和关节内曲安奈德：谨防医源性库欣综合征
2. Iatrogenic Cushing’s syndrome and secondary adrenal insufficiency after a single intra-articular administration of triamcinolone acetonide in HIV-infected patients treated with ritonavir [J] . J. C. Yombi, D. Maiter, L. Belkhir, Clinical Rheumatology . 2008,第s2期

机译：在使用利托那韦治疗的HIV感染患者中，单次关节内给予曲安奈德丙酮治疗后，医源性库欣综合征和继发性肾上腺功能不全
3. Iatrogenic Cushing Syndrome Secondary to Ritonavir-Epidural Triamcinolone Interaction: An Illustrative Case and Review [J] . Sapna Sadarangani, Melody L. Berg, William Mauck, Interdisciplinary perspectives on infectious diseases . 2014,第Null期

机译：雷托那韦-硬膜外曲安奈德相互作用继发的医源性库兴综合症：一个示例性案例和评论。
4. Iatrogenic Cushing's syndrome caused by treatment with traditional herbal medicine, a case report [C] . Hari Hendarto International Integrative Conference on Health, Life and Social Sciences . 2018

机译：通过传统草药治疗引起的原因性缓冲综合征，案例报告
5. Iatrogenic Cushing’s Syndrome Following Epidural Triamcinolone in an HIV-1 Infected Patient Undergoing Therapy with Ritonavir-Lopinavir [O] . Roshan Ramanathan, Alice K. Pau, Kristin H. Busse, -1

机译：硬膜外曲安西龙在接受利托那韦-洛匹那韦治疗的HIV-1感染患者中的硬膜外曲安西龙后的医源性库欣综合征
6. Iatrogenic Cushing Syndrome Secondary to Ritonavir-Epidural Triamcinolone Interaction: An Illustrative Case and Review [O] . Sapna Sadarangani, Melody L. Berg, William Mauck, 2014

机译：ritonavir-硬膜外riamcinolone互动的ritonavir-硬膜外曲调综合征的性能理解的缓冲综合征：说明性案例和审查

Injecting epidural and intra-articular triamcinolone in HIV-positive patients on ritonavir: Beware of iatrogenic Cushing's syndrome

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