<?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>S2312-38932020000200119</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2020.07.02.119</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Insuficiencia suprarrenal secundaria a uso crónico de corticoides tópicos por vía nasal]]></article-title>
<article-title xml:lang="en"><![CDATA[Adrenal insufficiency secondary to chronic use of topical nasal corticosteroids]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González González]]></surname>
<given-names><![CDATA[Nelson Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Centurión Medina]]></surname>
<given-names><![CDATA[Ingrid Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Nacional Departamento 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>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>2</numero>
<fpage>119</fpage>
<lpage>123</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932020000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932020000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932020000200119&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El síndrome de Cushing iatrogénico es común por el uso de corticoides por vía oral, tópica o inhalada, pero es extremadamente raro por la vía intranasal. El riesgo de desarrollar insuficiencia suprarrenal secundaria al uso tópico de corticoides es raro, pero siempre está presente. Presentamos el caso de una paciente con síntomas de Cushing y laboratorio compatible con insuficiencia suprarrenal secundaria al uso de corticoides por vía intranasal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Iatrogenic Cushing syndrome is commonly caused by the use of corticosteroids orally, topically, or inhaled, but by intranasal use is extremely rare. The risk of developing adrenal insufficiency secondary to topical corticosteroid use is rare, but always present. We present the case of a patient with Cushing's symptoms and a laboratory compatible with adrenal insufficiency secondary to the intranasal use of corticosteroids.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de Cushing]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia suprarrenal]]></kwd>
<kwd lng="es"><![CDATA[corticoesteroides]]></kwd>
<kwd lng="en"><![CDATA[Cushing Syndrome]]></kwd>
<kwd lng="en"><![CDATA[adrenal insufficiency]]></kwd>
<kwd lng="en"><![CDATA[adrenal cortex hormones]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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