Adrenal insufficiency, muscle atrophy due to self-medicating for gout for 10 years

Cao Thơm - Mỹ Ly |

A 32-year-old male patient had gout for 10 years but did not receive treatment as prescribed, arbitrarily using drugs of unknown origin to reduce pain, leading to adrenal insufficiency.

Body deformities at age 32

At the Department of Musculoskeletal, Thanh Nhan Hospital (Hanoi), the image of Mr. Nguyen Hoang Duy (character name has been changed, 32 years old, Bach Mai ward) makes many people heartbroken. Although young, he moves very difficultly, steps staggeringly, unsteady. His face is abnormally swollen, while his arms and legs are severely atrophied.

Nam bệnh nhân 32 tuổi bị suy tuyến thượng thận do tự ý dùng thuốc điều trị gout suốt 10 năm. Ảnh: Mỹ Ly
The 32-year-old male patient suffered from adrenal insufficiency due to arbitrarily using gout medication for 10 years. Photo: My Ly

Mr. Duy said that he has been living with gout for 10 years. However, instead of complying with the doctor's treatment regimen, the male patient voluntarily bought medicine to reduce pain according to the advice of an acquaintance.

In the early days, it only hurts occasionally, I bought medicine outside and drank it and it got better, so I didn't go for an examination anymore. This type of medicine is a white powder form, of unknown origin and origin. Just drinking it will relieve the pain, so I have been using it for the past 10 years," Mr. Duy said.

Tay chân bệnh nhân bị teo cơ và xuất hiện nhiều vết bầm do ảnh hưởng của bệnh. Ảnh: Mỹ Ly
The patient's limbs have muscle atrophy and many bruises appear due to the effects of the disease. Photo: My Ly

When he felt tired and his limbs were out of strength, Mr. Duy was admitted to the hospital and discovered that he had adrenal insufficiency and metabolic disorders due to abusing drugs of unknown origin.

Not only is gout getting worse, but the use of immediate pain relievers of unknown origin also causes my adrenal insufficiency. Therefore, my skin loses elasticity, so even a slight impact can easily cause bruises on my hands and feet," the male patient said.

Lying on the hospital bed with atrophied legs, Mr. Duy regretted: "Through this incident, I learned a lesson that you should only follow the doctor's instructions. Don't listen to recommendations or buy drugs rampant online and then seriously affect your health like I do now.

You shouldn't "be a doctor yourself

Talking about this case, MSc.BS Tran Quoc Khanh - Department of Musculoskeletal, Thanh Nhan Hospital (Hanoi) said that this is a patient with a long history of gout but did not go to medical facilities for periodic health check-ups.

This patient arbitrarily used pain relievers, anti-inflammatory drugs, especially products containing corticosteroids for a long time. This led to chronic gout combined with adrenal insufficiency, metabolic disorders in muscles, bones, joints,... causing the patient to have muscle atrophy, round face, stretch marks on the skin," MSc. Dr. Tran Quoc Khanh analyzed.

thăm khám cho bệnh nhân. Ảnh: Mỹ Ly
MSc.BS Tran Quoc Khanh – Department of Musculoskeletal, Thanh Nhan Hospital (Hanoi) - examines patients. Photo: My Ly

Also according to doctors, the situation of gout patients arbitrarily buying medicine in the style of "oral transmission" or listening to social networks is very common in Vietnam today. The use of drugs of unknown origin helps cut pain very quickly, causing patients to mistakenly believe that they have recovered.

However, each patient, each case has completely different characteristics. Treatment needs to be individualized. With the same type of disease, each person will be at a different stage, requiring a separate regimen.

MSc. Dr. Tran Quoc Khanh recommends: "When people have health problems, they should go to medical facilities for specialized examination. Absolutely do not "become a doctor on their own", do not listen to advice or rely on online search results to buy medicine. All types of medicine have main and side effects, if there is no supervision from doctors, the consequences of liver failure and kidney failure are very regrettable".

Cao Thơm - Mỹ Ly
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