Indian Journal of Pharmacy and Pharmacology
Indian Journal of Pharmacy and Pharmacology (IJPP) is an open-access, peer-reviewed pharmacy journal, published quarterly, as print and online by the Innovative Education and Scientific Research Foundation (IESRF) since 2014. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional membership, and conducting conferences, seminars, and award programs. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ imm...
Unmasking Takayasu Arteritis in a patient with steroid-induced Cushing syndrome
Page: 186–189
Prolonged corticosteroid use causes Cushing syndrome to emerge with characteristic features like moon face, central obesity, buffalo hump, striae and hypertension. However, the use of corticosteroids also can mask underlying autoimmune conditions, delaying diagnosis. We describe the case of a 25-year-old women who initially presented with complaints of wide-spread body pain and obesity. Further examination ensured cushingoid features due to prolonged self-medication with tablet prednisolone of dose 5mg taken orally. On gradual steroid tapering, she developed limb claudication, unequal blood pressure and pulse discrepancies. Elevated inflammatory markers strengthened the suspicion of Takayasu arteritis, a large vessel arthritis. This case emphasizes the importance of evaluating potential underlying inflammatory diseases in individuals exhibiting exogenous cushingoid features, especially when unexplained vascular signs emerge. Unsupervised corticosteroid use not only increases the risk of adverse effects but may delay the diagnosis of serious conditions, emphasizing the need for cautious prescribing and public awareness.
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- DOI 10.18231/j.ijpp.57860.1758806468
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- Citation
- Received Date July 06, 2025
- Accepted Date August 12, 2025
- Publication Date September 25, 2025