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10.3906/sag-2008-167

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suck abstract from ncbi


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pmid33155789      Turk+J+Med+Sci 2021 ; 51 (1): 231-237
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  • Does fludrocortisone treatment cause hypomagnesemia in children with primary adrenal insufficiency? #MMPMID33155789
  • Erbas IM; Altincik SA; Catli G; Unuvar T; Ozhan B; Abaci A; Anik A
  • Turk J Med Sci 2021[Feb]; 51 (1): 231-237 PMID33155789show ga
  • BACKGROUND/AIM: Aldosterone is a mineralocorticoid that secreted from adrenal glands and a known factor to increase magnesium excretion by direct and indirect effects on renal tubular cells. Although the frequency of hypomagnesemia was found to be approximately 5% in adult studies, there is no study in the literature investigating the frequency of hypomagnesemia in children by using fludrocortisone, which has a mineralocorticoid activity. MATERIALS AND METHODS: A multi-center retrospective study was conducted, including children who were under fludrocortisone treatment for primary adrenal insufficiency and applied to participant pediatric endocrinology outpatient clinics. RESULTS: Forty-three patients (58.1% male, 41.9% prepubertal) included in the study, whose median age was 9.18 (0.61-19) years, and the most common diagnosis among the patients was a salt-wasting form of congenital adrenal hyperplasia (67.4%). Mean serum magnesium level was 2.05 (+/-0.13) mg/dL, and hypomagnesemia was not observed in any of the patients treated with fludrocortisone. None of the patients had increased urinary excretion of magnesium. CONCLUSION: Unlike the studies performed in adults, we could not find any evidence of magnesium wasting effect of fludrocortisone treatment with normal or even high doses in children and adolescents.
  • |*Adrenal Hyperplasia, Congenital/blood/diagnosis/drug therapy[MESH]
  • |*Fludrocortisone/administration & dosage/adverse effects[MESH]
  • |*Magnesium Deficiency/diagnosis/etiology/prevention & control[MESH]
  • |*Magnesium/blood/urine[MESH]
  • |Child[MESH]
  • |Drug Monitoring/methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Ion Transport/drug effects[MESH]
  • |Male[MESH]
  • |Mineralocorticoids/administration & dosage/adverse effects[MESH]
  • |Renal Elimination/drug effects[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment[MESH]


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