F.V. VALEEVA¹, T.S. YYLMAZ¹, T.A. KISELEVA¹, L.T. BAREEVA²

¹Kazan State Medical University, Kazan

²Republic Clinical Hospital of the Ministry of Healthcare of the Russian Federation, Kazan

 Contact details:

Yylmaz T.S. — PhD (medicine), Associate Professor of the Department of Endocrinology

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: + 7-917-399-84-89, e-mail: tsmetannikova@yandex.ru

The article presents a clinical case of a patient with chronic adrenal insufficiency, developed during many years of using glucocorticoid-containing ointments for the treatment of psoriasis. The anamnesis, laboratory results, diagnostic justification, treatment and dynamic monitoring are presented. It was noted that a change in treatment and prescription of systemic glucocorticoids led to a positive trend in clinical symptoms, confirmed by laboratory results and the general condition of the patient. The lack of alertness of patients and doctors when using local glucocorticoid therapy may be one of the causes of the development of chronic adrenal insufficiency. At the same time, correctly selected glucocorticosteroid therapy helps to stabilize the course of the underlying disease and reduce the risk of unwanted effects.

Key words: psoriasis, corticosteroids, chronic adrenal insufficiency.