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Compliance with inhaled corticosteroids is important when considering adrenal suppression
  1. Malcolm Brodlie1,
  2. Steven Cunningham2
  1. 1Northumberland Child Health Centre, Northumberland, UK
  2. 2Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
  1. Correspondence to:
    Dr M Brodlie
    Northumberland Child Health Centre, Ashington, Northumberland NE63 9JJ, UK; malcolm_brodlie{at}hotmail.com

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We read with interest the article by Paton et al1 reporting the results of low-dose Synacthen tests in children prescribed fluticasone proprionate. The finding of flat adrenal responses in 2.8% of the children tested (all prescribed ⩾1000 μg of fluticasone proprionate per day) provides further evidence of the potential dangers of high …

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