Efecto de dosis altas de budesonida y función suprarrenal de niños asmáticos severos / High doses of inhaled budesonide and adrenal function in children with severe asthma
Rev. méd. Chile
; 134(1): 60-64, ene. 2006. tab
Article
in Es
| LILACS
| ID: lil-426119
Responsible library:
BR1.1
ABSTRACT
Background:
The use of inhaled steroids is common in the treatment of bronchial asthma in children.Aim:
To assess adrenocortical function in children with severe asthma receiving inhaled budesonide for six or more months. Material andmethods:
Children with severe asthma that required 800 µg/day or more of inhaled budesonide and that did not required systemic steroids for more than six days in the last four months to control their disease, were studied. Serum cortisol was measured one hour after administration of 0.25 mg of ACTH (Cosyntropin®) intravenously. The test was considered normal if post stimulation serum cortisol was over 18 µg/ml.Results:
Twenty children (aged 5 to 14 years, 15 males), were studied. The stimulation test was normal in 17 children.Conclusions:
Alterations in adrenal function are present in a small proportion of asthmatic children who require 800 µg/day of inhaled budesonide.
Full text:
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Index:
LILACS
Main subject:
Asthma
/
Bronchodilator Agents
/
Hydrocortisone
/
Adrenal Cortex
/
Budesonide
Type of study:
Observational_studies
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2006
Type:
Article