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与局部应用皮质类固醇相关的全身性不良事件。

Systemic Adverse Events Associated with Locally Administered Corticosteroids.

作者信息

De Vleeschhauwer Femke, Casteels Kristina, Hoffman Ilse, Proesmans Marijke, Rochtus Anne

机构信息

Department of Pediatrics, University Hospitals Leuven, 3000 Leuven, Belgium.

Department of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium.

出版信息

Children (Basel). 2024 Aug 6;11(8):951. doi: 10.3390/children11080951.

Abstract

Topical corticosteroids are a mainstay in the treatment of many pediatric disorders. While they have proven beneficial therapeutic effects and are generally considered safe, systemic adverse events may occur. This study presents four cases of children who experienced systemic adverse events after using inhaled and intranasal topical corticosteroids, as well as topical corticosteroids in other forms. A comprehensive literature review was performed to explore the existing evidence on this topic. The aim of this study is to raise awareness among healthcare providers about the possibility of systemic adverse events associated with the use of locally administered corticosteroids in pediatric patients. This information underscores the importance of careful monitoring, individualized treatment plans, and further research to better understand and mitigate the risks associated with corticosteroids, even those not given systemically.

摘要

局部用皮质类固醇是治疗许多儿科疾病的主要药物。虽然它们已被证明具有有益的治疗效果,并且通常被认为是安全的,但可能会发生全身性不良事件。本研究介绍了4例儿童在使用吸入性和鼻内局部用皮质类固醇以及其他形式的局部用皮质类固醇后发生全身性不良事件的病例。进行了全面的文献综述以探索关于该主题的现有证据。本研究的目的是提高医疗保健提供者对儿科患者使用局部给药皮质类固醇相关全身性不良事件可能性的认识。这些信息强调了仔细监测、个体化治疗方案以及进一步研究以更好地理解和减轻与皮质类固醇相关风险的重要性,即使是那些非全身给药的皮质类固醇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c233/11353265/483635276a5b/children-11-00951-g001.jpg

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