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著者: Bishnu Hari Subedi, Jhapindra Pokharel, Torrey L Goodman, Sanuraja Amatya, Luanne Freer, Nalin Banskota, Eric Johnson, Buddha Basnyat
雑誌名: Wilderness Environ Med. 2010 Dec;21(4):345-8. doi: 10.1016/j.wem.2010.09.006. Epub 2010 Sep 17.
Abstract/Text
Steroids are used for the prevention and treatment of high-altitude illnesses. However, these agents can cause significant side effects. We report a case of altered mental status, gastrointestinal bleeding, skin rash, and avascular necrosis in a climber taking prophylactic dexamethasone prior to an attempt to climb Mt Everest. High-altitude cerebral edema (HACE), steroid toxicity, and acute adrenal crisis can have similar clinical presentations. Differentiating between these life-threatening conditions at high altitude is essential for successful treatment.
Copyright © 2010 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.
PMID 21168788 Wilderness Environ Med. 2010 Dec;21(4):345-8. doi: 10.1016/j.wem.2010.09.006. Epub 2010 Sep 17.
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