Hypokalemic myopathy associated with intranasal steroid use (factitious mineralocorticoid excess syndrome)
1982
A patient is described, who had muscle necrosis occurring with hypokalemia and a factitious mineralocorticoid excess syndrome. The syndrome was due to the prolonged use of a nasal spray containing 9-alpha-fluoroprednisolone acetate, a steroid with potent mineralocorticoid activity. It is emphasized that intranasal administration of steroid compounds must be considered in the differential diagnosis of hypokalemia and related muscle disorders.
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