Hypertension and Severe Hypokalemia Associated With Oral Ingestion of Topical Hydrocortisone Cream.

Hypertension and Severe Hypokalemia Associated with Oral Ingestion of Topical Hydrocortisone Cream

The world of medicine is a vast and intricate landscape, with many unexpected twists and turns. This case report presents a unique and alarming example of the potential systemic effects of topical corticosteroids when ingested. The report describes a 64-year-old woman who was admitted to the hospital with severe hypertension and hypokalemia. The patient's symptoms were ultimately traced back to her self-administration of over-the-counter (OTC) hydrocortisone cream, which she had been ingesting for a period of time. This case highlights the importance of proper medication use and understanding the potential risks associated with even seemingly innocuous OTC medications.

Oral Ingestion of Topical Corticosteroids: A Serious Risk

The patient's case demonstrates the potential for serious adverse effects when topical corticosteroids are ingested. Hydrocortisone cream, commonly used for skin conditions, contains both glucocorticoid and mineralocorticoid properties. Oral ingestion of this cream can lead to systemic effects, including mineralocorticoid excess, which can manifest as hypertension and hypokalemia. This case highlights the importance of clear communication between patients and healthcare providers regarding medication usage and potential risks.

Patient Education and Safety

This case report underscores the importance of patient education regarding proper medication use. It is essential to remind patients that even OTC medications can have serious side effects if used improperly. Healthcare providers should emphasize the importance of reading and understanding medication labels, seeking professional guidance for medication use, and reporting any unusual symptoms. This case serves as a stark reminder of the potential dangers of self-treating and the need for responsible medication use.

Dr. Camel's Conclusion

This case report serves as a cautionary tale in the vast desert of medical knowledge. It reminds us that even seemingly benign OTC medications can have unexpected and potentially dangerous consequences if misused. We must be vigilant in promoting responsible medication use and educating patients about the risks associated with misusing even the most common medications.