Ugeskr Læger 2017;179:V03170206
Review of online prescriptions of topical steroids for an obese boy with iatrogenic Cushing’s syndrome
An obese boy developed iatrogenic Cushing’s syndrome after topical steroid therapy for psoriasis. This was suspected due to striae, moon face and stunted growth. A review of the Danish online registration of prescriptions: Shared Medicine Card (SMC), revealed a 5.1 kg topical steroids prescription for 12-mo.s. Blood tests showed stunted cortisol release. Primary obesity in children is associated with increased growth. Decreased growth warrants investigations for an underlying condition. This illustrates a useful SMC when many physicians are involved.