Cushing syndrome and severe adrenal suppression caused by fluticasone and protease inhibitor combination in an HIV-infected adolescent

RMS Germain, S Yigit, L Wells, JE Girotto… - AIDS Patient Care and …, 2007 - liebertpub.com
A 14-year-old female with perinatally acquired HIV on boosted protease inhibitor (PI)
therapy with atazanavir and ritonavir rapidly developed cushingoid features with excessive …

Exogenous Cushing syndrome with inhaled fluticasone in a child receiving lopinavir/ritonavir

NA Bhumbra, EG Sahloff… - Annals of …, 2007 - journals.sagepub.com
Objective: To describe a case of Cushing syndrome in a child during concurrent use of
inhaled fluticasone propionate, nasal mometasone, and a highly active antiretroviral …

Cushing's syndrome with adrenal suppression induced by inhaled budesonide due to a ritonavir drug interaction in a woman with HIV infection

K Yoganathan, L David, C Williams… - International journal of …, 2012 - journals.sagepub.com
A 48-year-old woman with HIV infection developed Cushingoid features while she was
taking ritonavir-boosted darunavir. Cushing's syndrome was confirmed due to the drug …

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

SR Johnson, AA Marion, T Vrchoticky… - The Journal of …, 2006 - Elsevier
We present 2 cases of Cushing syndrome with secondary adrenal insufficiency from
concomitant use of ritonavir and inhaled corticosteroids in children with human …

Iatrogenic Cushing's syndrome in a adolescent with AIDSs on ritonavir and inhaled fluticasone. Case report and literature review

TM Pessanha, JMS Campos, ACM Barros, MVS Pone… - Aids, 2007 - journals.lww.com
We should like to raise a few concerns. First, the study only included 19.8% of the whole
cohort. This may be partly because BP was only routinely measured in certain individuals …

Iatrogenic Cushing's syndrome in HIV-infected patients receiving ritonavir and inhaled fluticasone: description of 4 new cases and review of the literature

N Valin, N De Castro, V Garrait… - Journal of the …, 2009 - journals.sagepub.com
Protease inhibitors boosted with ritonavir can lead to drug—drug interactions, particularly
with inhaled corticosteroids such as fluticasone, because of the potent inhibition of …

Cushing syndrome due to ritonavir–fluticasone interaction

E Canalejo, MS Pacheco - Cmaj, 2012 - Can Med Assoc
A36-year-old woman with HIV presented with recent weight gain, marked abdominal striae
and proximal muscle weakness. She had a four-year history of type 2 diabetes mellitus that …

Iatrogenic cushing syndrome in a 47-year-old HIV-positive woman on ritonavir and inhaled budesonide

L Colpitts, TB Murray, SG Tahhan… - Journal of the …, 2017 - journals.sagepub.com
Iatrogenic Cushing syndrome (CS) is a well-known complication of treating patients with
systemic steroids. More rarely, it has been described in HIV-positive patients on ritonavir …

Iatrogenic Cushing's syndrome in an HIV-infected patient treated with inhaled corticosteroids (fluticasone propionate) and low dose ritonavir enhanced PI containing …

P Clevenbergh, M Corcostegui, D Gerard… - Journal of Infection, 2002 - Elsevier
In HIV-infected patients, ritonavir, a potent cytochrome P450 inhibitor, is increasingly used to
improve the pharmacokinetic profile of the associated protease inhibitor. HIV physicians are …

Ritonavir–fluticasone interaction causing Cushing syndrome in HIV-infected children and adolescents

R Arrington-Sanders, N Hutton… - The Pediatric infectious …, 2006 - journals.lww.com
Background: Ritonavir, a potent inhibitor of CYP3A4 enzyme, can lead to high systemic
concentrations of fluticasone when these 2 drugs are coadministered. Exogenous Cushing …