Can an earthquake cause flares of rheumatoid arthritis or lupus nephritis?
✍ Scribed by Daniel J. Wallace; Allan L. Metzger
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 243 KB
- Volume
- 37
- Category
- Article
- ISSN
- 0004-3591
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✦ Synopsis
s disease is characterized by an increased production of glucocorticoids by the adrenal glands secondary to excessive pituitary secretion of adrenocorticotropic hormone (ACTH). Glucocorticoids are known to exert antiinflammatory effects in rheumatoid arthritis (RA). We describe herein a patient with severe RA that entered remission with the onset of Cushing's disease. Her articular symptoms recurred when the cortisol level was normalized with medical therapy.
The patient, a 48-year-old French Canadian woman, was admitted to the hospital in June 1992 for evaluation for Cushing's syndrome. The diagnosis was suspected on the