To the Editor: Inhaled corticosteroids are primary controllersof asthma, and they are safe if used in moderate doses.1 Myopathyis a known side effect of oral corticosteroid therapy,2 butit has so far not been linked to the use of inhaled corticosteroidsin children. Fluticasone propionate is a potent inhaled corticosteroidthat has been associated with adrenocortical insufficiency ifgiven in high doses (>400 µg per day).3
A girl, 7.9 years old, was referred for evaluation because offatigue leading to her withdrawal from competitive ice-skating,then to half-time absence from school, and ultimately to herrequiring a wheelchair . . . [Full Text of this Article]
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