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Megestrol-induced clinical adrenal insufficiency
1Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School Massachusetts General Hospital, USA
2Assistant Professor of Medicine, Harvard Medical School, Boston, USA
*Corresponding Author(s): A. Goodman E-mail:
Objective: To describe a case of megestrol-induced adrenal insufficiency.
Methods: A patient who received megestrol and then developed pituitary-adrenal axis abnormalities is described. The literature is reviewed.
Results: The patient developed megestrol-induced Cushingoid features. She developed adrenal insufficiency when megestrol was stopped.
Conclusion: Megestrol can induce alterations of the pituitary-adrenal axis in some patients. It is important to consider a diagnosis of adrenal insufficiency in patients with symptoms of fatigue, hypotension, and asthenia who have been treated with megestrol.
Megestrol; Adrenal insufficiency; Cushingoid Features
A. Goodman,E. Cagliero. Megestrol-induced clinical adrenal insufficiency. European Journal of Gynaecological Oncology. 2000. 21(2);117-118.
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