Improper Use of Corticosteroids: Adrenal Insufficiency in a Child with Nephrotic Syndrome Diagnosis

The family was concerned when they noticed their son had a swollen face and unusually hairy arms and legs. They took him for a checkup at Tuyen Quang Provincial General Hospital in October 2023, where the doctor diagnosed the child with nephrotic syndrome and prescribed Prednisolone for treatment. After 10 days of treatment, the child showed significant improvement and was discharged from the hospital with a follow-up visit scheduled for four weeks later.

As the child’s condition stabilized, the family opted to seek treatment at a private clinic in February. Despite progress, the clinic doctor continued with the same dose of medication. However, abnormally gaining weight and feeling extremely tired prompted the family to return to the provincial hospital for another checkup.

On May 14, doctors at Tuyen Quang Provincial General Hospital determined that the child had adrenal insufficiency as a result of taking high doses of corticosteroids continuously for 6-7 months. Symptoms such as hairy limbs and low blood pressure required transfer to a central-level facility for further treatment.

Corticosteroids are a group of active ingredients used widely in medical conditions due to their anti-inflammatory, anti-allergic, and immunosuppressive effects. However, improper use or abuse can lead to adverse effects like adrenal insufficiency. Patients must follow their doctor’s instructions carefully, attend follow-up appointments, and ensure they use medication correctly to prevent complications.

The diagnosis of adrenal insufficiency is crucial in treating patients who have taken corticosteroids continuously for an extended period. The child’s symptoms were clear evidence of this condition’s severity and required immediate attention from healthcare professionals.

In conclusion, proper use of corticosteroids is essential in treating various medical conditions. However, improper use or abuse can lead to severe complications like adrenal insufficiency. Patients must work closely with healthcare providers to monitor their medication intake and attend follow-up appointments regularly to avoid such issues.

The family played an important role in noticing their son’s symptoms early on, which ultimately led to his successful diagnosis and treatment. Their vigilance should serve as an example for other parents who may be experiencing similar concerns about their children’s health.

Overall, it is crucial that healthcare providers educate patients on proper medication intake and its potential side effects while also monitoring them regularly for any signs of complications like adrenal insufficiency resulting from long-term corticosteroid use.