{"id":11087,"date":"2025-07-27T12:29:39","date_gmt":"2025-07-27T10:29:39","guid":{"rendered":"https:\/\/valintermed.com\/?p=11087"},"modified":"2025-07-27T12:29:39","modified_gmt":"2025-07-27T10:29:39","slug":"ekzogennyy-sindrom-kushinga","status":"publish","type":"post","link":"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/","title":{"rendered":"Exogenous Cushing&#039;s syndrome"},"content":{"rendered":"<div class=\"fpm_start\"><\/div>\n<p>Exogenous Cushing&#039;s syndrome is a condition caused by excessive exogenous (outside the body) production of corticosteroids, most often glucocorticoids. It can develop as a result of long-term or active use of drugs containing cortisol or its derivatives for the treatment of various diseases, such as inflammatory and autoimmune disorders. Symptoms of exogenous Cushing&#039;s syndrome include such manifestations as obesity with a characteristic distribution of fat (especially in the abdominal and facial areas), hypertension, diabetes, osteoporosis, and psychoemotional disorders such as depression or mood changes. This disease requires complex diagnostics and treatment, as it can significantly reduce the quality of life and lead to serious complications.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-flat ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Content<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" 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href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\" >History of the disease and interesting historical facts<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F\" >Epidemiology<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E\" >Genetic predisposition to this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Risk factors for the development of this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Diagnosis of this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5\" >Treatment<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%A1%D0%BF%D0%B8%D1%81%D0%BE%D0%BA_%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2_%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D1%8F%D0%B5%D0%BC%D1%8B%D1%85_%D0%B4%D0%BB%D1%8F_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >List of medications used to treat this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%9C%D0%BE%D0%BD%D0%B8%D1%82%D0%BE%D1%80%D0%B8%D0%BD%D0%B3_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Disease monitoring<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%92%D0%BE%D0%B7%D1%80%D0%B0%D1%81%D1%82%D0%BD%D1%8B%D0%B5_%D0%BE%D1%81%D0%BE%D0%B1%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Age-related features of the disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%92%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B_%D0%B8_%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B\" >Questions and Answers<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/ekzogennyy-kushingy-sindrom\/#%D0%A1%D0%BE%D0%B2%D0%B5%D1%82%D1%8B_%D0%BE%D1%82_%D0%B4%D0%BE%D0%BA%D1%82%D0%BE%D1%80%D0%B0_%D0%9E%D0%BB%D0%B5%D0%B3%D0%B0_%D0%9A%D0%BE%D1%80%D0%B6%D0%B8%D0%BA%D0%BE%D0%B2%D0%B0\" >Advice from Dr. Oleg Korzhikov<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\"><\/span>History of the disease and interesting historical facts<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The history of Cushing&#039;s syndrome dates back to the first half of the 20th century, when in 1932, the American physician Harry Cushing, who specialized in neurosurgery, became the first to describe this disease based on clinical observations. Cushing associated his observations with the presence of pituitary adenomas, which later became the basis for a more in-depth study of the causes and mechanisms of pathology development. In his works, terms were proposed that are still used in medical practice. An interesting fact is that Cushing&#039;s syndrome was known for many years as &quot;primary hypercorticism&quot;, but thanks to extensive research in the field of endocrinology, the emphasis shifted to distinguishing between exogenous and endogenous Cushing&#039;s syndrome, which made it possible to more accurately classify the disease and develop effective treatment methods.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F\"><\/span>Epidemiology<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The epidemiology of exogenous Cushing&#039;s syndrome is characterized by uneven distribution among different population groups. According to the latest epidemiological study, the prevalence of exogenous Cushing&#039;s syndrome ranges from 5 to 30 cases per 100,000 population per year, and the incidence is higher in women than in men by a ratio of 3:1. The main risk factor is the use of corticosteroids, which is unified among various diseases, including rheumatoid arthritis, asthma, and skin diseases. Given the growing popularity of corticosteroids for both systemic diseases and aesthetic procedures, the incidence of this syndrome is expected to increase in the coming years.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E\"><\/span>Genetic predisposition to this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>To date, no genetic predisposition to exogenous Cushing&#039;s syndrome has been identified, as this condition is primarily associated with external influences in the form of corticosteroid use. However, it should be noted that some patients with a hereditary predisposition to endogenous pituitary dysfunction, such as Manger&#039;s syndrome or pheochromocytomas, have an increased risk of developing endogenous Cushing&#039;s syndrome, which may indirectly increase the likelihood of the exogenous form due to the need for corticosteroid treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Risk factors for the development of this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When considering the risk factors for the development of exogenous Cushing&#039;s syndrome, the following can be identified:<\/p>\n<ul>\n<li>Long-term use of corticosteroid drugs to treat conditions such as asthma, allergic reactions, autoimmune diseases.<\/li>\n<li>High doses of corticosteroids, which are often used in patients with severe forms of the disease.<\/li>\n<li>Certain diseases require the use of long-term corticosteroids.<\/li>\n<li>Concomitant use of several drugs containing corticosteroids may result in exceeding the safe dose.<\/li>\n<li>Long-term use of corticosteroids for chronic diseases without medical supervision and control.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Diagnosis of this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diagnosis of exogenous Cushing&#039;s syndrome involves several key components. The main symptoms observed in patients include: <\/p>\n<ul>\n<li>Obesity with a characteristic distribution of fat (fat deposits on the abdomen and face).<\/li>\n<li>Hypertension and carbohydrate metabolism disorders (insulin resistance, diabetes).<\/li>\n<li>Skin changes: acne, stretch marks, hyperpigmentation.<\/li>\n<li>Psychoemotional disorders: anxiety, depression.<\/li>\n<li>Muscle weakness and osteoporosis.<\/li>\n<\/ul>\n<p>Laboratory tests may include blood and salivary cortisol levels and 24-hour urinary cortisol excretion to help confirm excess production of the hormone. Radiologic tests may include MRI or CT to rule out pituitary or adrenal tumors. Differential diagnosis with endogenous forms of Cushing&#039;s syndrome is also important in identifying the source of the problem.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5\"><\/span>Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Treatment of exogenous Cushing&#039;s syndrome should be comprehensive and individualized. The main goal of treatment is to reduce the level of corticosteroids in the body. This may include:<\/p>\n<ul>\n<li>Gradually reduce the dose of corticosteroids under the supervision of a physician to avoid withdrawal syndrome.<\/li>\n<li>Replace corticosteroids with less potent drugs, if possible.<\/li>\n<li>Use of drugs that reduce the effect of corticosteroids, such as mifepristone.<\/li>\n<li>Surgery may be considered if there are tumors or other underlying causes that require surgical removal.<\/li>\n<li>Pharmacological treatment aimed at compensating for side effects, such as antihypertensive drugs to control blood pressure and drugs to treat osteoporosis.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A1%D0%BF%D0%B8%D1%81%D0%BE%D0%BA_%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2_%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D1%8F%D0%B5%D0%BC%D1%8B%D1%85_%D0%B4%D0%BB%D1%8F_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>List of medications used to treat this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main groups of drugs used to treat exogenous Cushing&#039;s syndrome include:<\/p><script data-noptimize=\"\" data-wpfc-render=\"false\">\nfpm_start( \"true\" );\n<\/script>\n\n<ul>\n<li>Corticosteroids: hydrocortisone, prednisolone.<\/li>\n<li>Antihypertensive drugs: ACE inhibitors, beta-blockers.<\/li>\n<li>Drugs for the treatment of osteoporosis: bisphosphonates, vitamin D.<\/li>\n<li>Mifepristone \u2013 used to treat severe cases.<\/li>\n<li>Blood sugar control drugs: metformin.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%9C%D0%BE%D0%BD%D0%B8%D1%82%D0%BE%D1%80%D0%B8%D0%BD%D0%B3_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Disease monitoring<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Monitoring of exogenous Cushing&#039;s syndrome should be performed on a regular basis both to assess the effectiveness of treatment and to identify possible complications. Monitoring steps include:<\/p>\n<ul>\n<li>Regular assessment of cortisol levels in the blood and saliva.<\/li>\n<li>Monitoring blood pressure, glucose levels and bone health.<\/li>\n<li>Assessment of the patient\u2019s psycho-emotional state and the possibility of therapeutic correction.<\/li>\n<li>The prognosis for this disease is generally quite favorable, provided that adequate treatment is provided in a timely manner; however, complications such as osteoporosis and cardiovascular diseases may arise.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%92%D0%BE%D0%B7%D1%80%D0%B0%D1%81%D1%82%D0%BD%D1%8B%D0%B5_%D0%BE%D1%81%D0%BE%D0%B1%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Age-related features of the disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Age-related features of exogenous Cushing&#039;s syndrome show that the disease can manifest itself at any age, but is more often diagnosed in adult women. In children, the syndrome can develop as a result of long-term use of corticosteroids in the treatment of asthma or other diseases, which requires special attention from the attending physicians. In older people, as a rule, more pronounced complications are observed due to concomitant diseases, such as osteoporosis and cardiovascular diseases, which complicates diagnosis and treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%92%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B_%D0%B8_%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B\"><\/span>Questions and Answers<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li><strong>What are the main symptoms of exogenous Cushing&#039;s syndrome?<\/strong><br \/>\nThe main symptoms include obesity with a characteristic distribution of fat deposits, hypertension, changes in metabolism (insulin resistance), disturbances of the psycho-emotional state and osteoporosis.<\/li>\n<li><strong>How is exogenous Cushing&#039;s syndrome diagnosed?<\/strong><br \/>\nDiagnosis includes clinical examination, laboratory tests for cortisol levels, radiological methods (MRI, CT) and differential diagnosis with other variants of Cushing&#039;s syndrome.<\/li>\n<li><strong>What is the main cause of exogenous Cushing&#039;s syndrome?<\/strong><br \/>\nExogenous Cushing&#039;s syndrome results from prolonged and\/or excessive use of corticosteroids to treat various diseases.<\/li>\n<li><strong>How is exogenous Cushing&#039;s syndrome treated?<\/strong><br \/>\nTreatment involves tapering the dose of corticosteroids, replacing them with less potent drugs, pharmacological support and, in some cases, surgical intervention.<\/li>\n<li><strong>How are patients with exogenous Cushing&#039;s syndrome monitored?<\/strong><br \/>\nMonitoring includes regular assessment of cortisol levels, control of blood pressure and glucose levels, as well as assessment of the patient\u2019s bone tissue condition and psycho-emotional health.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A1%D0%BE%D0%B2%D0%B5%D1%82%D1%8B_%D0%BE%D1%82_%D0%B4%D0%BE%D0%BA%D1%82%D0%BE%D1%80%D0%B0_%D0%9E%D0%BB%D0%B5%D0%B3%D0%B0_%D0%9A%D0%BE%D1%80%D0%B6%D0%B8%D0%BA%D0%BE%D0%B2%D0%B0\"><\/span>Advice from Dr. Oleg Korzhikov<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As Dr. Oleg Korzhikov notes, an important aspect in the treatment of exogenous Cushing&#039;s syndrome is following the doctor&#039;s recommendations and monitoring the state of health. He emphasizes that patients should not independently change the dose of corticosteroids or stop taking them without consulting a specialist. In the event of new symptoms, it is necessary to immediately contact a doctor. It is also worth paying special attention to lifestyle correction: sports activity, a balanced diet and an adequate level of stress will help improve overall health. Dr. Korzhikov recommends regular examinations and talking to a doctor about your concerns, since early diagnosis and timely intervention are key factors for successful treatment.<\/p>\n<div class=\"fpm_end\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Exogenous Cushing&#039;s syndrome is a condition caused by excessive exogenous (outside the body) production of corticosteroids, most commonly glucocorticoids. It can develop as a result of<\/p>","protected":false},"author":1,"featured_media":17615,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[298],"tags":[],"class_list":["post-11087","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medlibrary"],"_links":{"self":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/comments?post=11087"}],"version-history":[{"count":1,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11087\/revisions"}],"predecessor-version":[{"id":16128,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11087\/revisions\/16128"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media\/17615"}],"wp:attachment":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media?parent=11087"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/categories?post=11087"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/tags?post=11087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}