Abstract |
We sought to determine the prevalence of adrenal suppression (AS) in children with eosinophilic esophagitis treated with oral viscous budesonide (OVB). This was a retrospective review of a quality assurance initiative, whereby all children in our center treated with OVB for ≥3 months were referred over an 18-month time frame for endocrine assessment including 1 μg adrenocorticotropic hormone stimulation test. Fourteen of 19 children complied with the referral; of these 14 children, 6 (43%) had suboptimal stimulated cortisol (range 343-497 nmol/L, mean [±SD] 424.7 nmol/L [±52.4], normal ≥500 nmol/L). There was no significant association to treatment duration, dose, or concomitant use of inhaled/nasal corticosteroids. This study suggests that children treated with OVB may be at risk for AS.
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Authors | Shira Harel, Brenden E Hursh, Edmond S Chan, Vishal Avinashi, Constadina Panagiotopoulos |
Journal | Journal of pediatric gastroenterology and nutrition
(J Pediatr Gastroenterol Nutr)
Vol. 61
Issue 2
Pg. 190-3
(Aug 2015)
ISSN: 1536-4801 [Electronic] United States |
PMID | 25950088
(Publication Type: Journal Article)
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Chemical References |
- Glucocorticoids
- Budesonide
- Adrenocorticotropic Hormone
- Hydrocortisone
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Topics |
- Adolescent
- Adrenal Insufficiency
(chemically induced, diagnosis, epidemiology)
- Adrenocorticotropic Hormone
(administration & dosage)
- Asthma
(complications)
- Budesonide
(administration & dosage, adverse effects, therapeutic use)
- Child
- Child, Preschool
- Eosinophilic Esophagitis
(drug therapy)
- Female
- Glucocorticoids
(adverse effects, therapeutic use)
- Humans
- Hydrocortisone
(blood)
- Male
- Retrospective Studies
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