Prevention and management of glucocorticoid- induced side effects: A comprehensive review

被引:46
作者
Caplan, Avrom [1 ,2 ]
Fett, Nicole [3 ]
Rosenbach, Misha [1 ,2 ]
Werth, Victoria P. [1 ,2 ]
Micheletti, Robert G. [1 ,2 ]
机构
[1] Univ Penn, Dept Med, 2 Maloney Bldg,3400 Spruce St, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Dermatol, 2 Maloney Bldg,3400 Spruce St, Philadelphia, PA 19104 USA
[3] Oregon Hlth & Sci Univ, Dept Dermatol, Portland, OR 97201 USA
关键词
glucocorticoids; infections; pneumocystis pneumonia; side effects; steroids; vaccines; PNEUMOCYSTIS-CARINII-PNEUMONIA; B-VIRUS REACTIVATION; HYPERINFECTION SYNDROME; CORTICOSTEROID-THERAPY; HEPATITIS-C; VACCINATION; RISK; TUBERCULOSIS; ZOSTER; IMMUNOGENICITY;
D O I
10.1016/j.jaad.2016.02.1240
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Learning objectives After completing this learning activity, participants should be able to describe important infectious complications of chronic glucocorticoid therapy and implement preventative strategies, including appropriate use of prophylactic agents and routine vaccinations. Disclosures Editors The editors involved with this CME activity and all content validation/peer reviewers of the journal-based CME activity have reported no relevant financial relationships with commercial interest(s). Authors The authors involved with this journal-based CME activity have reported no relevant financial relationships with commercial interest(s). Planners The planners involved with this journal-based CME activity have reported no relevant financial relationships with commercial interest(s). The editorial and education staff involved with this journal-based CME activity have reported no relevant financial relationships with commercial interest(s). Part 3 of this 4-part continuing medical education series reviews several important infectious complications of corticosteroid use, including a focus on pneumocystis pneumonia (PCP) prophylaxis, tuberculosis, viral hepatitis, and other infections, followed by a discussion of vaccination recommendations in immunosuppressed patients.
引用
收藏
页码:191 / 198
页数:8
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