Steroid responsive meningitis recovery

640 Jackson St St. Paul. M N 55101 Refreme Whisnanr JP: The role of rhe neurologist in the decline of stroke. Ann Neurol 14:l-7, 1983 Bw JJ/ msec Steroid-ResPonsive Postinfectiok Sensorineural Hearing Loss Naomi Amir, MD," Ruth S. Shalev, MD," Miriam Berman, MD," Aryeh Gilai, PhD$ and Joseph Mor, MD$ Because the short report on sudden deafness in chickenpox Hz Audzograms (left)and braznstem auditory a oked potentzah (rzght) of patient (A) before steroid therapy, ( B )during steroid therapy, and ICI after terrnznation of steroids Latencies oftbe audztovy nemle potentialj waw 1. and brainstem transmissron times (waoes V to 111) are shortened (B) during therapy as compared to (A) before and ( C ) after termination of steroids 12) did not mention drug treatment, we thought it pertinent to draw attention to steroid-responsive remissions in sensorineural hearing loss of recent onset. We report a 10-year-old boy with bilateral mononeuritis of the eighth nerve in which steroid-dependent clinical improvement correlated with improved brainstem auditory evoked potentials (BAEPs). The patient first noticed hearing loss in the right ear at 7 years of age, several months after contracting mumps. An audiogram at that time showed a unilateral hearing loss of 80

The problem usually develops in young adults. Signs include fever, stiff neck, hyper-reactivity to touch, and reduced mobility due to marked stiffness. It can be acute or chronic. The cause is not well understood, but because it responds to steroid therapy, it is likely an autoimmune condition. Autoimmune problems occur when the body sees itself as foreign and mounts a reaction. There is the possibility that infectious agents can trigger this reactivity. Steroid medications have anti-inflammatory action, and at high doses, inhibit the immune system.

Betsy:
Some of the generic drops have become expensive because of consolidation. For example, generic pred forte drops used to be very inexpensive but now there are only two companies that make it and those two companies are owned by the same two large pharmaceuticals that own the branded medicines, hence the price of the generic is almost the same as the expensive branded options. The price of drugs does vary from one pharmacy to another and each insurance plan has its preferred drugs which cost much less for patients depending on the deals they have made with the manufactures. For example brand A might be priced well at one store because they have made a good deal with the manufacturer and made it their preferred drug while brand B would be expensive. Across town a different drug store chain might have a great price for B and a high price for A because they have make B their preferred drug and have a great volume price with the manufacturer.
Alas, it is hard to find a cost effective way to protect your eyes around cataract surgery.
God Bless,
Gary Foster

The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.

Steroid responsive meningitis recovery

steroid responsive meningitis recovery

The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.

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