Diagnostic and therapeutic guidelines used for children arecommonly extrapolated from studies conducted in adults. Thereare potential dangers in assuming that children will have thesame response to disease or therapy as adults, given importantphysiological differences. For example, it is reasonable toquestion whether glucocorticoid excess will have the same skeletaleffects in adults as in a growing child. Glucocorticoids arethought to threaten bone health through a number of mechanisms.1They reduce bone formation by inhibiting the number and functionof bone-building osteoblasts. Glucocorticoids also contributeto bone loss by stimulating calciuresis and impairing the intestinalabsorption . . . [Full Text of this Article]
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From the Division of Pediatric Endocrinology, Stanford University Medical Center, Stanford, Calif.
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