<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932018000200030</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2018.05(02)30-037</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones del uso prolongado de corticoides: Cushing iatrogénico]]></article-title>
<article-title xml:lang="en"><![CDATA[Complications of long-term use of corticosteroids: Iatrogenic Cushing]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez Arce]]></surname>
<given-names><![CDATA[Sandra Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aveiro]]></surname>
<given-names><![CDATA[Alba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa. Facultad de Medicina Postgrado en Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Nacional Hospital Nacional Dpto. de Medicina Interna]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<fpage>30</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932018000200030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932018000200030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932018000200030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el síndrome de Cushing iatrogénico es el resultado de la utilización inadecuada, excesiva y en forma crónica de los glucocorticoides.  Objetivos: describir las indicaciones y complicaciones de la corticoterapia prolongada, además de las características clínicas y demográficas de los pacientes que concurrieron al Hospital Nacional en el periodo 2010-2017.  Resultados: se incluyeron 70 pacientes, con edad media 51±16 años (rango 18-91 años), de los cuales 40 (57%) eran mujeres y 30 (43%) eran varones. El IMC medio fue 28,8 kg/m2. Los corticoides utilizados eran la prednisona (86%) y la dexametasona (14%). El 60% era por automedicación y 40% por prescripción médica. Las indicaciones del uso de corticoides se debían a enfermedades inmunológicas (62,86%) y no inmunológicas (37,14%). La complicación más frecuente fue la obesidad (97,14%). El valor medio de hemoglobina glicada fue 6,38±1,67 mg/dL (rango 4,6-12,5 mg/dL).  Conclusiones: el corticoide más utilizado fue la prednisona. El motivo de uso predominante fue la automedicación. Los efectos colaterales más frecuente fueron la obesidad, la facies cushingoide y las alteraciones dermatológicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The iatrogenic Cushing syndrome is the result of inadequate, excessive and chronic use of glucocorticoids.  Objectives:  To describe the indications and complications of prolonged corticosteroid therapy, in addition to the clinical and demographic characteristics of the patients who attended the National Hospital in the 2010-2017 period.  Results:  Seventy patients were included, with an average age of 51±16 years (range 18-91 years), of which 40 (57%) were women and 30 (43%) were men. The mean BMI was 28.8 kg/m2. The corticosteroids used were prednisone (86%) and dexamethasone (14%). Sixty percent was by self-medication and 40% by medical prescription. The indications for the use of corticosteroids were due to immunological diseases (62.86%) and non-immunological diseases (37.14%). The most frequent complication was obesity (97.14%). The mean value of glycated hemoglobin was 6.38±1.67 mg/dL (range 4.6-12.5 mg/dL).  Conclusions:  The most used corticosteroid was prednisone. The predominant use reason was self-medication. The most frequent side effects were obesity, Cushingoid facies and dermatological alterations.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[corticoesteroides]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Cushing]]></kwd>
<kwd lng="es"><![CDATA[glucocorticoides]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="en"><![CDATA[corticosteroids]]></kwd>
<kwd lng="en"><![CDATA[Cushing's syndrome]]></kwd>
<kwd lng="en"><![CDATA[glucocorticoids]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
</kwd-group>
</article-meta>
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