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Multiple Ulcerations and Perforations of the Jejunum and Ileum Complicating Prednisone Therapy
ROY C. GUMPEL, M.D.;
EDWARD C. LEWIS, M.D.;
ROBERT V. THOMSON, M.D.
AMA Arch Intern Med. 1957;99(4):660-668.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Corticotropic hormones and adrenal corticosteroids have proven to be the sine qua non of replacement therapy in certain pituitary and adrenal gland disorders. Although not a therapeutic panacea, the value of the induced hyperadrenal state in many additional illnesses has been established. Unfortunately, the occurrence of occasional deleterious side-reactions and untoward symptoms of overdosage have established their action to be as that of a "two-edged sword."
Among the complications of corticotropin and adrenal cortical hormone therapy, none are associated with a graver morbidity or higher mortality than are those involving the gastrointestinal system. The appearance of ulcerations of the duodenum and stomach with a high incidence of perforation and hemorrhage has been recognized with increased frequency and has led to a curtailment in the use of hormone therapy and to the use of a prophylactic ulcer regimen in cases where such therapy is mandatory. The hormones have resulted in the
. . . [Full Text PDF of this Article]
Author Affiliations
Coral Gables, Fla.
Footnotes
Recorded for publication Aug. 22, 1956.
Resident, Medical Service (Dr. Gumpel); Resident, Surgical Service, (Dr. Lewis), and Pathologist (Dr. Thomson), Veterans Administration Hospital.
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