INTRODUCTION We report a patient with recurrent erythema multiforme (recurrent EM) who developed iatrogenic Cushing's syndrome due to prolonged corticosteroid use. CLINICAL PICTURE The patient had been treated with multiple courses of oral and intramuscular prednisolone over a 10-year period to suppress his recurrent and episodic symptoms. This resulted in the development of iatrogenic Cushin...

BACKGROUND The systemic effects of the inhaled corticosteroid beclomethasone dipropionate are reduced if the drug is inhaled through a large volume spacer. Use of spacers may therefore permit higher doses to be given without causing hypothalamo-pituitary-adrenal suppression. METHODS Randomised, double blind, double dummy, parallel group study was carried out in adults with chronic asthma to d...

Introduction Diagnosis of adrenal crisis and panhypopituitarism in patients with septic shock is difficult but crucial for outcome. Case A 66-year-old woman with metastasized breast cancer presented to the ED with respiratory insufficiency and septic shock after a 2-day history of the flu. After transfer to the ICU, corticosteroids were started in addition to antibiotics, as the patient was v...

OBJECTIVES To investigate the clinical presentation, laboratory findings, and pathologic characteristics of patients with corticotropin (ACTH)-independent macronodular adrenal hyperplasia. DESIGN Retrospective review. SETTING Academic medical center. PATIENTS All patients with bilateral adrenocortical nodules associated with ACTH-independent hypercortisolism without clinicopathologic feat...

Background: Although ionizing radiation is widely used to diagnose many diseases, the relevant hazards are known to be as an important limitation of its application. It is believed that the awareness of ionizing radiation dose values is one of the main stages in patient's radiation protection. The purpose of this study has been to investigate the level of physicians' knowledge about radiation d...

Introduction: Computed tomography (CT) consists of 11% of all imaging methods, but accounts for approximately 67% of radiation exposure due to diagnostic cases. More than one-third of all CT scans are done in the head and neck area. The thyroid gland is irradiated during CT head and neck. According to studies, this gland has the highest levels of radiation-induced cancer, and i...

Background. Adrenal insufficiency is a life-threatening event. It is recommended that patients with known adrenal insufficiency and their families receive careful and repeated education on sick-day glucocorticoid management. We hypothesized that the electronic medical record (EMR) can be used to improve patient education through automated provider notification. Methods. We established an automa...

introduction: the relation between patient body mass index (bmi) and the external dose rate of thyroid cancer patients treated with 131i has been investigated. methods: a total of 183 patients treated with 131i were selected randomly and divided according to their administrated activity into three groups: 3.7gbq, 5.5gbq and 7.4gbq. they were also stratified into three groups according to their...

Objective: Detection and evaluation of adrenal glands are complex problems in conventional ultrasonography in dogs. Using three-dimensional (3D) ultrasonography (US) in adrenal gland volume evaluation can add new potential for further adrenal studies. Design: Descriptive study Animals: a total of 10 mix breed dogs Procedures: The dogs underwent two dimensional (2D) and 3D US of the adrenal g...