Pt DP severe kyphoscoliosis (osteoporosis) due to long term steroid use

These pictures show remarkable curvature of the spine as a result of collapse of the vertebral bodies of the thoracic vertebrae. This is a gross example of steroid-induced osteoporosis. The dose was not large in the last 10 years, typically 5-10mg daily, but multiple high dose courses and slow tapering lead to this outcome.

Her corticosteroid warning card is also demonstrated, as additional steroids are required for any significant illness or surgery, as her adrenal glands had completely atrophied.
 

Kindly supplied by Prof David Denning, South Manchester University Hospitals NHS Trust, Manchester UK

(© Fungal Research Trust)

Patient ID: