Progressive epidural lipomatosis with steroid use in severe refractory asthma.

BACKGROUND: Long-term immunosuppression with oral corticosteroids is frequently used to treat inflammatory diseases of the lung and is advocated in the management of some patients with asthma. METHODS: The authors describe the case of a 35-year-old man with severe refractory asthma who developed a...

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Main Authors: Wakerley, B, Kent, L, Jackson, M
Format: Journal article
Language:English
Published: 2011
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author Wakerley, B
Kent, L
Jackson, M
author_facet Wakerley, B
Kent, L
Jackson, M
author_sort Wakerley, B
collection OXFORD
description BACKGROUND: Long-term immunosuppression with oral corticosteroids is frequently used to treat inflammatory diseases of the lung and is advocated in the management of some patients with asthma. METHODS: The authors describe the case of a 35-year-old man with severe refractory asthma who developed a slowly progressive thoracic spinal cord syndrome. RESULTS: Spinal imaging demonstrated the presence of spinal epidural lipomatosis, a rare complication of prolonged corticosteroid therapy, which is characterized by overgrowth of fat in the epidural space and neuronal compression. CONCLUSIONS: Spinal epidural lipomatosis should be considered in patients receiving long-term corticosteroid therapy who develop symptoms and signs suggestive of spinal cord compression.
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spelling oxford-uuid:87cc6eea-ec29-404a-b7fd-fcdb6062406f2022-03-26T22:12:56ZProgressive epidural lipomatosis with steroid use in severe refractory asthma.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:87cc6eea-ec29-404a-b7fd-fcdb6062406fEnglishSymplectic Elements at Oxford2011Wakerley, BKent, LJackson, M BACKGROUND: Long-term immunosuppression with oral corticosteroids is frequently used to treat inflammatory diseases of the lung and is advocated in the management of some patients with asthma. METHODS: The authors describe the case of a 35-year-old man with severe refractory asthma who developed a slowly progressive thoracic spinal cord syndrome. RESULTS: Spinal imaging demonstrated the presence of spinal epidural lipomatosis, a rare complication of prolonged corticosteroid therapy, which is characterized by overgrowth of fat in the epidural space and neuronal compression. CONCLUSIONS: Spinal epidural lipomatosis should be considered in patients receiving long-term corticosteroid therapy who develop symptoms and signs suggestive of spinal cord compression.
spellingShingle Wakerley, B
Kent, L
Jackson, M
Progressive epidural lipomatosis with steroid use in severe refractory asthma.
title Progressive epidural lipomatosis with steroid use in severe refractory asthma.
title_full Progressive epidural lipomatosis with steroid use in severe refractory asthma.
title_fullStr Progressive epidural lipomatosis with steroid use in severe refractory asthma.
title_full_unstemmed Progressive epidural lipomatosis with steroid use in severe refractory asthma.
title_short Progressive epidural lipomatosis with steroid use in severe refractory asthma.
title_sort progressive epidural lipomatosis with steroid use in severe refractory asthma
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AT kentl progressiveepidurallipomatosiswithsteroiduseinsevererefractoryasthma
AT jacksonm progressiveepidurallipomatosiswithsteroiduseinsevererefractoryasthma