Table 3.

Management of AS—recommendations given to patients/families of children with EoE at CHEO

Stress dosing recommended to all patients until normalization of LDST
Mild illness or fever	20 mg/m2/day hydrocortisone equivalent, divided BID or TID
Fever >38.5 or vomiting	30 mg/m2/day hydrocortisone equivalent, divided TID
Severe illness or injury OR unable to tolerate oral GC during illness	ER for IV GC therapy
Surgery or procedure with anesthesia	Endocrinology consulted for IV GC dosing
Patients with first morning cortisol <185 nmo/L
Daily glucocorticoid therapy	10 mg/m2/day q am
Illness/surgery/injury	Stress dosing as outlined above

BID twice daily, TID three times daily, ER emergency department, IV intravenous, q am daily morning