The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Editorial
PreviousPrevious
Volume 351:924-926 August 26, 2004 Number 9
NextNext

Bare-Bones Fact — Children Are Not Small Adults
Laura K. Bachrach, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF
-PDA Full Text
-Purchase this article

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited
-E-mail When Letters Appear

More Information
-Related Article
 by Leonard, M. B.
-PubMed Citation
Diagnostic and therapeutic guidelines used for children are commonly extrapolated from studies conducted in adults. There are potential dangers in assuming that children will have the same response to disease or therapy as adults, given important physiological differences. For example, it is reasonable to question whether glucocorticoid excess will have the same skeletal effects in adults as in a growing child. Glucocorticoids are thought to threaten bone health through a number of mechanisms.1 They reduce bone formation by inhibiting the number and function of bone-building osteoblasts. Glucocorticoids also contribute to bone loss by stimulating calciuresis and impairing the intestinal absorption . . . [Full Text of this Article]


Source Information

From the Division of Pediatric Endocrinology, Stanford University Medical Center, Stanford, Calif.


This article has been cited by other articles:



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.