<?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>2393-6797</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Medicina Interna ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Urug. Med. Int.]]></abbrev-journal-title>
<issn>2393-6797</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-67972026000101406</article-id>
<article-id pub-id-type="doi">10.26445/11.01.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Cushing exógeno]]></article-title>
<article-title xml:lang="en"><![CDATA[Exogenous Cushing's síndrome]]></article-title>
<article-title xml:lang="pt"><![CDATA[Síndrome de Cushing exógena]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Frade Ruíz]]></surname>
<given-names><![CDATA[Luis Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ahumada-Ayala]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chia Vázquez]]></surname>
<given-names><![CDATA[Nadia Giovanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles del Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>11</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-67972026000101406&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-67972026000101406&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-67972026000101406&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se presenta el caso de paciente quien acude a consulta por fatiga crónica, piel frágil, aumento de perímetro abdominal, edema de miembros inferiores e insomnio, tras lo cual se solicitan estudios de laboratorio con disminución de cortisol sérico y ACTH, por lo que en la segunda revisión refiere al interrogatorio directo el uso crónico de crema con esteroide tópico e ingerir la misma por molestias faríngeas. Se suspende la administración del esteroide en crema y se inicia esteroide vía oral en esquema de reducción con mejoría del cuadro. Se realiza una revisión de la literatura y se muestra la evolución del paciente, resaltando la importancia de que los pacientes no suelen comunicar en consulta los fármacos que consumen ni las vías de administración de los mismos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: We present the case of a patient who came to the clinic with chronic fatigue, fragile skin, increased abdominal girth, lower limb edema, and insomnia. Laboratory studies were requested, revealing decreased serum cortisol and ACTH levels. During the second follow-up visit, the patient was referred to the chronic use of steroid cream and ingestion due to pharyngeal discomfort. The cream was discontinued after being replaced with an oral steroid in a tapering regimen, leading to improvement in the patient's condition. This article reviews the literature and describes the patient's progress. It is important to emphasize that patients often do not disclose the medications they usually take or their routes of administration during the consultation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Apresentamos o caso de uma paciente que se apresentou com fadiga crônica, pele frágil, aumento da circunferência abdominal, edema nos membros inferiores e insônia. Os exames laboratoriais revelaram níveis séricos reduzidos de cortisol e ACTH. Durante a segunda consulta, a paciente relatou o uso crônico de um creme de corticoide tópico e a administração oral do mesmo para desconforto faríngeo. O creme de corticoide tópico foi suspenso e iniciou-se o tratamento com corticoides orais com redução gradual da dose, resultando em melhora. Realizamos uma revisão da literatura e apresentamos a evolução da paciente, destacando a importância de os pacientes não revelarem seus medicamentos ou vias de administração durante as consultas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cushing exógeno]]></kwd>
<kwd lng="es"><![CDATA[esteroide tópico]]></kwd>
<kwd lng="en"><![CDATA[Exogenous Cushing]]></kwd>
<kwd lng="en"><![CDATA[topical steroid]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de Cushing exógena]]></kwd>
<kwd lng="pt"><![CDATA[corticoides tópicos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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