Cushing syndrome with secondary adrenal insufficiency from concomitant therapy with ritonavir and fluticasone

The Journal of Pediatrics
Susan R JohnsonJorge Lujan-Zilbermann

Abstract

We present 2 cases of Cushing syndrome with secondary adrenal insufficiency from concomitant use of ritonavir and inhaled corticosteroids in children with human immunodeficiency virus infection. These cases highlight the need for special consideration when treatment with an inhaled/intranasal corticosteroid is indicated in children receiving antiretroviral therapy.

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