<?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>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912018000200172</article-id>
<article-id pub-id-type="doi">10.18233/apm39no2pp172-1781575</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Cushing iatrogénico y sarna costrosa por uso de esteroides tópicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Iatrogenic Cushing´s syndrome and crusted scabies due to misuse of topical steroid therapy.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morán-Villaseñor]]></surname>
<given-names><![CDATA[Edna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios-López]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sáez de Ocariz]]></surname>
<given-names><![CDATA[Marimar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orozco-Covarrubias]]></surname>
<given-names><![CDATA[Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durán-McKinster]]></surname>
<given-names><![CDATA[Carola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>172</fpage>
<lpage>178</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912018000200172&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912018000200172&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912018000200172&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El uso prolongado de esteroides tópicos en niños se puede asociar con efectos adversos locales y sistémicos. Se presenta el caso de una paciente de seis meses de edad con síndrome de Cushing iatrogénico y sarna costrosa tras el uso de betametasona al 0.05% en el área del pañal. La sarna costrosa es una variedad de escabiosis que tiene la particularidad de ser más extensa y más contagiosa; generalmente se observa en pacientes inmunodeprimidos. En este caso fue favorecida por la aplicación crónica de esteroides tópicos. Los médicos de primer contacto y los padres deben conocer los efectos secundarios potenciales de los esteroides tópicos, especialmente en áreas de piel delgada o cubierta (como el área del pañal) en donde la absorción de los esteroides tópicos se incrementa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Prolonged use of topical corticosteroids in children may be associated with both local and systemic adverse effects. We report a case of a 6-month-old female who developed Cushing´s syndrome and crusted scabies due to misuse of betamethasone in the diaper area for three months. Crusted scabies is a form of scabies that has the particularity of being more extensive and highly contagious, it is most commonly observed in immunosuppressed patients, in this case it was induced by the chronic application of topical corticosteroids.  Physicians and parents should be aware of the potential side effects of topical corticosteroids, especially in thin and covered skin areas, like the diaper area, where absorption is increased.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de Cushing iatrogénico]]></kwd>
<kwd lng="es"><![CDATA[sarna costrosa]]></kwd>
<kwd lng="es"><![CDATA[esteroides tópicos]]></kwd>
<kwd lng="en"><![CDATA[iatrogenic Cushing&#8217;s syndrome]]></kwd>
<kwd lng="en"><![CDATA[crusted scabies]]></kwd>
<kwd lng="en"><![CDATA[topical corticosteroids]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hengge]]></surname>
<given-names><![CDATA[UR]]></given-names>
</name>
<name>
<surname><![CDATA[Ruzicka]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Cork]]></surname>
<given-names><![CDATA[MJ.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adverse effects of topical glucocorticosteroids]]></article-title>
<source><![CDATA[J Am Acad Dermatol]]></source>
<year>2006</year>
<volume>54</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-15</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cheirif]]></surname>
<given-names><![CDATA[WO]]></given-names>
</name>
<name>
<surname><![CDATA[Sáez de Ocariz]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Lammoglia]]></surname>
<given-names><![CDATA[OL.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Esteroides tópicos: revisión actualizada de sus indicaciones y efectos adversos en dermatología]]></article-title>
<source><![CDATA[Dermatología CMQ]]></source>
<year>2015</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>305-12</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Halverstam]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Vachharajani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bayliss]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cushing syndrome from percutaneous absorption of 1% hydrocortisone ointment in Netherton syndrome]]></article-title>
<source><![CDATA[Pediatr Dermatol]]></source>
<year>2007</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>42-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Feldmann]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Maibach]]></surname>
<given-names><![CDATA[HI.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Regional variation in percutaneous penetration of 14C cortisol in man]]></article-title>
<source><![CDATA[J Invest Dermatol]]></source>
<year>1967</year>
<volume>48</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>181-3</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Semiz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Isik]]></surname>
<given-names><![CDATA[BY]]></given-names>
</name>
<name>
<surname><![CDATA[Ergin]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Candemir]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Polat]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Two cases of Cushing&amp;apos;s syndrome due to overuse of topical steroid in the diaper area]]></article-title>
<source><![CDATA[Pediatr Dermatol]]></source>
<year>2008</year>
<volume>25</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>544-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siklar]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Bostanci]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Atli]]></surname>
<given-names><![CDATA[Ö]]></given-names>
</name>
<name>
<surname><![CDATA[Dallar]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An infantile Cushing syndrome due to misuse of topical steroid]]></article-title>
<source><![CDATA[Pediatr Dermatol]]></source>
<year>2004</year>
<volume>21</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>561-3</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ho]]></surname>
<given-names><![CDATA[CWL]]></given-names>
</name>
<name>
<surname><![CDATA[Loke]]></surname>
<given-names><![CDATA[KY]]></given-names>
</name>
<name>
<surname><![CDATA[Lim]]></surname>
<given-names><![CDATA[YYJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[YS.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Exogenous Cushing syndrome: A lesson of diaper rash cream]]></article-title>
<source><![CDATA[Horm Res Paediatr]]></source>
<year>2014</year>
<volume>82</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>415-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nieman]]></surname>
<given-names><![CDATA[LK.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consequences of systemic absorption of topical glucocorticoids]]></article-title>
<source><![CDATA[J Am Acad Dermatol]]></source>
<year>2011</year>
<volume>65</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>250-2</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karwoski]]></surname>
<given-names><![CDATA[CB.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postmarketing Safety Review - PID D030565]]></article-title>
<source><![CDATA[Drugs: Topical Corticoesteroids]]></source>
<year>2003</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Newell-Price]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bertagana]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Grossman]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Nieman]]></surname>
<given-names><![CDATA[LK.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cushing&#8217;s syndrome]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2006</year>
<volume>367</volume>
<page-range>1605-17</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stratakis]]></surname>
<given-names><![CDATA[CA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cushing syndrome in Pediatrics]]></article-title>
<source><![CDATA[Endocrinol Metab Clin N Am]]></source>
<year>2012</year>
<volume>41</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>793-803</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banerji]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Canadian Paediatric Society, First Nations, Inuit and Métis Health Committee. Scabies]]></article-title>
<source><![CDATA[Paediatr Child Health]]></source>
<year>2015</year>
<volume>20</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>395-402</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Plascencia]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Proy]]></surname>
<given-names><![CDATA[TH]]></given-names>
</name>
<name>
<surname><![CDATA[Eljure]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
<name>
<surname><![CDATA[Atoche]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[RC.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Escabiosis: una revisión]]></article-title>
<source><![CDATA[Dermatología CMQ]]></source>
<year>2013</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>217-23</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gladstone]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
<name>
<surname><![CDATA[Darmstadt]]></surname>
<given-names><![CDATA[GL.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Crusted scabies in an immunocompetent child: Treatment with Ivermectin]]></article-title>
<source><![CDATA[Pediatr Dermatol]]></source>
<year>2000</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>144</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tirado-Sánchez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bonifaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Montes de Oca-Sánchez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Araiza-Santibañez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ponce-Olivera]]></surname>
<given-names><![CDATA[RM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Escabiosis costrosa en pacientes con infección por VIH/SIDA. Reporte de 15 casos]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seguro Soc]]></source>
<year>2016</year>
<volume>54</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>397-400</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Workoswki]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Bolan]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Centers for Disease Control and Prevention. Sexally transmitted diseases treatment guidelines, 2015]]></article-title>
<source><![CDATA[MMWR Recomm Rep]]></source>
<year>2015</year>
<volume>64</volume>
<numero>03</numero>
<issue>03</issue>
<page-range>1-137</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
