50 year old lady came in with a history of RA, rheumatoid arthritis. She also had many joint deformities. Her symptoms were nasal congestion, yellow phlegm, hoarseness, shortness of breath, and severe coughing. Her condition was not improving before she came to Doc. An x-ray order showed a hazy density in her lungs. She was then referred to her pulmonologist (or pulmonary disease specialist, one who specializes in treatment of pulmonary conditions or diseases).
The pulmonologist determined that she had boop. (Yes, this is an actual term. It is an acronym for Bronchiolitis obliterans with organizing pneumonia.) Basically the tiny sacs or alveoli and small bronchi become very inflamed and infected causing severe pain, coughing, and other symptoms.
She underwent a very high dose of steroids.
However, from the huge influx of steroids the patient developed Cushing syndrome.
Cushing syndrome is developed in two ways, either intrinsically or extrinsically. This was an extrinsic case as she was consuming prednisone.
Cushing Syndrome Symptoms: moon-face, weight gain, increased blood pressure, hump neck, increase in blood suger, edema, and reddish, unusual stretch marks.
Her steroids were gradually tapered off over time and she was eventually cured.
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