Why glucocorticoid withdrawal may sometimes be as dangerous as the treatment itself

S Dinsen, B Baslund, M Klose, AK Rasmussen… - European journal of …, 2013 - Elsevier
Glucocorticoid therapy is widely used, but withdrawal from glucocorticoids comes with a
potential life-threatening risk of adrenal insufficiency. Recent case reports document that …

[HTML][HTML] The use of inhaled corticosteroids in pediatric asthma: update

E Hossny, N Rosario, BW Lee, M Singh… - World Allergy …, 2016 - Elsevier
Despite the availability of several formulations of inhaled corticosteroids (ICS) and delivery
devices for treatment of childhood asthma and despite the development of evidence-based …

Metabolomic profiling reveals extensive adrenal suppression due to inhaled corticosteroid therapy in asthma

P Kachroo, ID Stewart, RS Kelly, M Stav, K Mendez… - Nature medicine, 2022 - nature.com
The application of large-scale metabolomic profiling provides new opportunities for realizing
the potential of omics-based precision medicine for asthma. By leveraging data from over …

Central hypoadrenalism

RK Crowley, N Argese, JW Tomlinson… - The Journal of …, 2014 - academic.oup.com
Context: Central hypoadrenalism is a frequent complication of pituitary and hypothalamic
pathology and is associated with increased morbidity and mortality. Optimal exogenous …

Management of endocrine disease: glucocorticoid-induced adrenal insufficiency: replace while we wait for evidence?

K Laugesen, LHA Broersen, SB Hansen… - European Journal of …, 2021 - academic.oup.com
Glucocorticoids are, besides non-steroidal anti-inflammatory drugs, the most widely used
anti-inflammatory medications. Prevalence studies indicate substantial use of both systemic …

[HTML][HTML] Effect of long term inhaled corticosteroid therapy on adrenal suppression, growth and bone health in children with asthma

A Kwda, P Gldc, B Baui, K Kasr, H Us, L Kantha, S KSH - BMC pediatrics, 2019 - Springer
Background Inhaled corticosteroids (ICS) are the most effective treatment for children with
persistent asthma. However adverse effects of ICS on Hypothalamo Pituitary Adrenal (HPA) …

Factors impacting on the action of glucocorticoids in patients receiving glucocorticoid therapy

R Dineen, PM Stewart, M Sherlock - Clinical endocrinology, 2019 - Wiley Online Library
Glucocorticoids (GC s) are steroid hormones, which are essential for life. They are secreted
by the adrenal cortex under the control of the hypothalamic‐pituitary‐adrenal (HPA) axis …

Symptomatic adrenal suppression among children in Canada

EB Goldbloom, A Mokashi, EA Cummings… - Archives of Disease in …, 2017 - adc.bmj.com
Background Adrenal suppression (AS) is an under-recognised side effect of glucocorticoid
(GC) use. AS may go undetected until a physiological stress precipitates an adrenal crisis …

[HTML][HTML] Inhaled corticosteroids and secondary adrenal insufficiency

V Sannarangappa, R Jalleh - The open respiratory medicine …, 2014 - ncbi.nlm.nih.gov
Inhaled corticosteroids (ICS) have been used as first line treatment of asthma for many
decades. ICS are a form of exogenous glucocorticosteroids that can suppress the …

Moderate dose inhaled corticosteroid-induced symptomatic adrenal suppression: case report and review of the literature

RH Schwartz, O Neacsu, DP Ascher… - Clinical …, 2012 - journals.sagepub.com
Inhaled corticosteroids (ICS) are drugs of choice for persistent asthma. Less than 500 µg/d of
fluticasone are believed to be safe. We found 92 cases of adrenal suppression in PubMed; …