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. 1990 Aug;65(8):838–840. doi: 10.1136/adc.65.8.838

Adrenal function in asthma.

K Priftis 1, A D Milner 1, E Conway 1, J W Honour 1
PMCID: PMC1792501  PMID: 2400219

Abstract

A dose dependent suppression of daily cortisol excretion was shown in 25 children with asthma being treated with beclomethasone dipropionate. Cortisol metabolites tended to occur below the normal range when doses of beclomethasone of more than 400 micrograms/m2/day were given. Androgen excretion below the normal range was apparent in asthmatic children aged 8-13 years regardless of whether they were receiving inhaled steroids. This may be the reason for growth delay often seen in asthmatic children. These side effects of beclomethasone are not enough reason to discourage its prescription for the treatment of asthma, but endocrine assessment is desirable when the dose exceeds 400 micrograms/m2/day.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Balfour-Lynn L. Growth and childhood asthma. Arch Dis Child. 1986 Nov;61(11):1049–1055. doi: 10.1136/adc.61.11.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bisgaard H., Damkjaer Nielsen M., Andersen B., Andersen P., Foged N., Fuglsang G., Høst A., Leth C., Pedersen M., Pelck I. Adrenal function in children with bronchial asthma treated with beclomethasone dipropionate or budesonide. J Allergy Clin Immunol. 1988 Jun;81(6):1088–1095. doi: 10.1016/0091-6749(88)90874-3. [DOI] [PubMed] [Google Scholar]
  3. Ebden P., Jenkins A., Houston G., Davies B. H. Comparison of two high dose corticosteroid aerosol treatments, beclomethasone dipropionate (1500 micrograms/day) and budesonide (1600 micrograms/day), for chronic asthma. Thorax. 1986 Nov;41(11):869–874. doi: 10.1136/thx.41.11.869. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Ferguson A. C., Murray A. B., Tze W. J. Short stature and delayed skeletal maturation in children with allergic disease. J Allergy Clin Immunol. 1982 May;69(5):461–466. doi: 10.1016/0091-6749(82)90122-1. [DOI] [PubMed] [Google Scholar]
  5. Gaddie J., Petrie G. R., Reid I. W., Skinner C., Sinclair D. J., Palmer K. N. Aerosol beclomethasone dipropionate: a dose-response study in chronic bronchial asthma. Lancet. 1973 Aug 11;2(7824):280–281. doi: 10.1016/s0140-6736(73)90788-5. [DOI] [PubMed] [Google Scholar]
  6. Goldstein D. E., König P. Effect of inhaled beclomethasone dipropionate on hypothalamic-pituitary-adrenal axis function in children with asthma. Pediatrics. 1983 Jul;72(1):60–64. [PubMed] [Google Scholar]
  7. Klein R., Waldman D., Kershnar H., Berger W., Coulson A., Katz R. M., Rachelefsky G. S., Siegel S. C. Treatment of chronic childhood asthma with beclomethasone dipropionate aerosol: I. A double-blind crossover trial in nonsteroid-dependent patients. Pediatrics. 1977 Jul;60(1):7–13. [PubMed] [Google Scholar]
  8. Law C. M., Marchant J. L., Honour J. W., Preece M. A., Warner J. O. Nocturnal adrenal suppression in asthmatic children taking inhaled beclomethasone dipropionate. Lancet. 1986 Apr 26;1(8487):942–944. doi: 10.1016/s0140-6736(86)91045-7. [DOI] [PubMed] [Google Scholar]
  9. Law C. M., Preece M. A., Warner J. O. Nocturnal adrenal suppression in children inhaling beclomethasone dipropionate. Lancet. 1987 Jun 6;1(8545):1321–1321. doi: 10.1016/s0140-6736(87)90577-0. [DOI] [PubMed] [Google Scholar]
  10. Littlewood J. M., Johnson A. W., Edwards P. A., Littlewood A. E. Growth retardation in asthmatic children treated with inhaled beclomethasone dipropionate. Lancet. 1988 Jan 16;1(8577):115–116. doi: 10.1016/s0140-6736(88)90310-8. [DOI] [PubMed] [Google Scholar]
  11. Martin A. J., Landau L. I., Phelan P. D. The effect on growth of childhood asthma. Acta Paediatr Scand. 1981 Sep;70(5):683–688. doi: 10.1111/j.1651-2227.1981.tb05768.x. [DOI] [PubMed] [Google Scholar]
  12. Martin L. G., Grossman M. S., Connor T. B., Levitsky L. L., Clark J. W., Camitta F. D. Effect of androgen on growth hormone secretion and growth in boys with short stature. Acta Endocrinol (Copenh) 1979 Jun;91(2):201–212. doi: 10.1530/acta.0.0910201. [DOI] [PubMed] [Google Scholar]
  13. Murray A. B., Fraser B. M., Hardwick D. F., Pirie G. E. Chronic asthma and growth failure in children. Lancet. 1976 Jul 24;2(7978):197–198. doi: 10.1016/s0140-6736(76)92366-7. [DOI] [PubMed] [Google Scholar]
  14. Rosenfield R. I., Furlanetto R., Bock D. Relationship of somatomedin-C concentrations to pubertal changes. J Pediatr. 1983 Nov;103(5):723–728. doi: 10.1016/s0022-3476(83)80465-x. [DOI] [PubMed] [Google Scholar]
  15. Shackleton C. H. Profiling steroid hormones and urinary steroids. J Chromatogr. 1986 Jun 20;379:91–156. doi: 10.1016/s0378-4347(00)80683-0. [DOI] [PubMed] [Google Scholar]
  16. Sherman B., Weinberger M., Chen-Walden H., Wendt H. Further studies of the effects of inhaled glucocorticoids on pituitary-adrenal function in healthy adults. J Allergy Clin Immunol. 1982 Feb;69(2):208–212. doi: 10.1016/0091-6749(82)90101-4. [DOI] [PubMed] [Google Scholar]
  17. Shohat M., Shohat T., Kedem R., Mimouni M., Danon Y. L. Childhood asthma and growth outcome. Arch Dis Child. 1987 Jan;62(1):63–65. doi: 10.1136/adc.62.1.63. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Smith M. J., Hodson M. E. Effects of long term inhaled high dose beclomethasone dipropionate on adrenal function. Thorax. 1983 Sep;38(9):676–681. doi: 10.1136/thx.38.9.676. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Springer C., Avital A., Maayan C., Rosler A., Godfrey S. Comparison of budesonide and beclomethasone dipropionate for treatment of asthma. Arch Dis Child. 1987 Aug;62(8):815–819. doi: 10.1136/adc.62.8.815. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Tanner J. M., Whitehouse R. H., Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. I. Arch Dis Child. 1966 Oct;41(219):454–471. doi: 10.1136/adc.41.219.454. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Tanner J. M., Whitehouse R. H., Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966 Dec;41(220):613–635. doi: 10.1136/adc.41.220.613. [DOI] [PMC free article] [PubMed] [Google Scholar]

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