Acute adrenal insufficiency in a patient with asthma after changing from fluticasone propionate to budesonide☆,☆☆,★
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Cited by (22)
The use of inhaled corticosteroids in pediatric asthma: Update
2016, World Allergy Organization JournalCitation Excerpt :ICS at high doses and long duration appear to be a significant independent risk factor for AI [149, 150]. Also, changing the type of ICS or reducing the dose could potentially trigger AI [151–153]. Adrenal insufficiency may cause a spectrum of presentations varying from vague symptoms of fatigue to potentially life threatening acute adrenal crises [148].
Endocrine Issues During Acute Illness, Sepsis, and the Perioperative Period
2007, Evidence-Based Medical ConsultationThe effect of a steroid "burst" and long-term, inhaled fluticasone propionate on adrenal reserve
2003, Annals of Allergy, Asthma and ImmunologyImpaired recovery of hypothalamic-pituitary-adrenal axis function and hypoglycemic seizures after high-dose inhaled corticosteroid therapy in a toddler
2002, Annals of Allergy, Asthma and ImmunologyBaseline and Peak Cortisol Response to the Low-Dose Short Synacthen Test Relates to Indication for Testing, Age, and Sex
2022, Journal of the Endocrine Society
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J Allergy Clin Immunol 1999;103:956-7.
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