Illness After Receiving Cortisone Injection. Thyroid Test Positive. Could Cortisone Injections Cause Cushings Syndrome And Immune System Problems?
Information confirms that longterm oral steroids can cause cushings. ??? What do u think. This has been going on for two years and i am so tired of being tired.
Hypercortisolism is not due to steroids in past.
Detailed Answer:
Dear XXXXXXX Hi, Thanks for visiting XXXXXXX As per your history you have been administered corticosteroid injections three doses sometime in the past. Following which you had low cortisol levels for about a month. This all is clear till here, but high morning cortisol after that without steroid administration is not possible and this is not what you are talking about oral steroid induced cushings. If you are still taking oral steroids and having high morning cortisol then yes it is drug induced and this is iatrogenic cushings and for this you need dose reduction.
Second part of the query, low T4, to answer that I need your TSH values. You may be right about that mononucleosis may be causing the thyroiditis. This may be responsible for your low T4. Are you taking treatment for hypothyroidism?
Now to answer your query, you need to work out the cause of high cortisol if you are not on treatment. Work out includes serum ACTH, MRI brain for pituitary and MRI abdomen for adrenals.
TSH is also required and you need treatment according to the reports.
Regards!
As for my labs ..last month my t4 and tsh were drawn at labcorp. T4 low was normal at 0 .78 (.82-1.77). Tsh normal at 2.9 ( .45-4.5). At this time i had been taking 25 mcg of synthroid. My dose was increased to 50 mcg and i contacted you initially. You suggested that i take dose in am on empty stomach (no directions in label) and multivite at night. Thanks i have been able to help myself get better ..less exhausted. I still have to stop and rest which is weird for ne. I was running half marathons 5 years ago.
Need more information XXXXXXX
Detailed Answer:
Dear XXXXXXX I need some more information. You probably missed out on this but I have been persistent about whether you are on steroids presently? whether your high morning cortisol is while you are taking steroids or without steroids?
About your thyroid , after your report your doctor has increased the dose of thyroxine. So now, since when you have been taking thyroxine 50mcg? and did you check your thyroid balance after building your dose?
Your CT scan of neck will not help me in making the diagnosis, only your MRI pituitary and adrenals will do. My differentials to be ruled out
1. Pituitary adenoma
2. Adrenal adenoma
3. Ectopic Cushings syndrome.
Please write back with the answers so that I can help you better.
Regards