Acute Adrenal Crisis in an Asthmatic Child Treated with Inhaled Fluticasone Proprionate

Table 1 Patient's laboratory results showing initial adrenal suppression and subsequent recovery after steroid discontinuation.

	Cortisol (nmol/L)		ACTH (pmol/L)
	Patient values	Normal range	Patient values	Normal range
(a) On inhaled steroids
Initial	8.3	63.5–328.4 (PM)	409	1.3–10.56
250 g ACTH test, Baseline	19.3
250 g ACTH test, Stimulated	35.9	500
3 day ACTH-peak	361.6	500
(b) After steroid discontinuation
1 month	110.4	171.1–535.4 (AM)	22.6	1.3–10.56
2 months	187.68	171.1–535.4	22.2
9 months	292.56	171.1–535.4	14.7
16 months (1 g ACTH test, peak)	477.48	500	7.04

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