Kortikosteroidne tablete

Efectos secundarios que debe informar a su médico o a su profesional de la salud tan pronto como sea posible: reacciones alérgicas, como erupción cutánea, picazón o urticarias, e hinchazón de la cara, los labios o la lengua cambios en las emociones o el estado de ánimo cambios en la visión dolor ocular signos y síntomas de niveles elevados de azúcar en la sangre, tales como mareo; boca seca; piel seca; aliento frutal; náuseas; dolor de estómago; aumento del apetito o la sed; aumento de la cantidad de orina signos y síntomas de infección, como fiebre o escalofríos; tos; dolor de garganta; dolor o dificultad para orinar crecimiento lento en niños (si se usa por periodos más prolongados) hinchazón de tobillos, pies dificultad para conciliar el sueño cansancio o debilidad inusual huesos débiles (si se usa por periodos más prolongados)Efectos secundarios que generalmente no requieren atención médica (infórmelos a su médico o a su profesional de la salud si persisten o si son molestos): mayor apetito náuseas problemas de piel, acné, piel delgada y brillante malestar estomacal aumento de peso

An example of an acute hepatitis-like syndrome arising after pulse methylprednisolone therapy.  These episodes arise typically 2 to 4 weeks after a third or fourth cycle of pulse therapy, and range in severity from an asymptomatic and transient rise in serum aminotransferase levels to an acute hepatitis and even fulminant hepatic failure.  In this instance, the marked and persistent rise in serum enzymes coupled with liver histology suggesting chronic hepatitis led to a diagnosis of new-onset autoimmune hepatitis, despite the absence of serum autoantibodies or hypergammaglobulinemia.  Autoimmune hepatitis may initially present in this fashion, without the typical pattern of serum autoantibodies during the early, anicteric phase.  The diagnosis was further supported by the prompt improvements in serum enzymes with prednisone therapy.  The acute hepatitis-like syndrome that can occur after pulses of methylprednisolone is best explained as a triggering of an underlying chronic autoimmune hepatitis caused by the sudden and profound immunosuppression followed by rapid withdrawal.  This syndrome can be severe, and fatal instances have been reported.  Whether reinitiation of corticosteroid therapy with gradual tapering and withdrawal is effective in ameliorating the course of illness is unclear, but anecdotal reports such as this one suggest that they are beneficial and should be initiated promptly on appearance of this syndrome.  Long term follow up of such cases is also necessary to document that the autoimmune hepatitis does not relapse once corticosteroids are withdrawn again.

Kortikosteroidne tablete

kortikosteroidne tablete

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