Abstract
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.
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We thank Neal Marshall for assistance in the preparation of this article for publication.
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The authors declare that they have no conflicts of interest.
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Maviki, M., Cowley, P. & Marmery, H. Injecting epidural and intra-articular triamcinolone in HIV-positive patients on ritonavir: beware of iatrogenic Cushing’s syndrome. Skeletal Radiol 42, 313–315 (2013). https://doi.org/10.1007/s00256-012-1539-6
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DOI: https://doi.org/10.1007/s00256-012-1539-6