Such side effects include: Parental corticosteroid therapy: Anaphylactoid reaction, e.g. Bronchospasm, hypopigmentation or hyper- pigmentation, subcutaneous and cutaneous atrophy, sterile abscess, laryngeal oedema and urticaria.
Gastrointestinal: Dyspepsia, peptic ulcer with perforation and haemorrhage, abdominal distension, oesophageal ulceration, oesophageal candidiasis, acute pancreatitis, perforation of bowel, Increase in alanine transaminase (ALT/SGPT) aspartate transaminase (AST/SGOT) and alkaline phosphatase have been observed following corticosteroid treatment.
Anti-inflammatory and Immunosuppressive effects: Increased susceptibility and severity of infections with suppression of clinical symptoms and sign, opportunistic infections, may suppress reactions to skin tests, recurrence of dormant tuberculosis.
Musculoskeletal: Proximal myopathy, osteoporosis, vertebral and long bone fractures, avascular osteonecrosis, tendon rupture, aseptic necrosis, muscle weakness.
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