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Hypoglycemia due to adrenal suppression secondary to high-dose nebulized corticosteroid
K A Dunlop1, D J Carson, M D Shields
1Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland, UK.
Pediatric Pulmonology
|July 12, 2002
Abstract:
High-dose inhaled corticosteroids, greater than 400 mcg per day of beclomethasone dipropionate or equivalent, can cause adrenal insufficiency, but a hypoglycemic crisis has not been reported with the use of nebulized corticosteroids. We describe a 21-month-old asthmatic boy who had a hypoglycemic seizure during a proven acute adrenal crisis secondary to high-dose nebulized budesonide treatment.