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- Published on: 8 November 2001
- Published on: 23 October 2001
- Published on: 8 November 2001Budesonide cases should not have been includedShow More
Dear Editor,
In this short report, Patel et al. presents a series of eight cases of ”symptomatic adrenal insufficiency during inhaled corticosteroid treatment” [1]. The paper highlights several interesting points. However, the determination of cases as “symptomatic”, the laboratory investigations performed to establish the diagnosis, and the selection of cases, can be seriously questioned.
The a...
Conflict of Interest:
None declared. - Published on: 23 October 2001Systemic effects of inhlaed corticosteroidsShow More
Dear Editor
In the short report by Patel et al,[1] the authors have described symptomatic adrenal insufficiency in eight children with mild to moderately severe asthma. What was the evidence that these children a) had asthma and b) merited treatment with inhaled corticosteroids? Inhaled corticosteroids are potent locally and are almost entirely transformed into inactive metabolites in the liver, so that their sy...
Conflict of Interest:
None declared.