{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:25:38Z","timestamp":1785767138142,"version":"3.56.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2010,12,1]],"date-time":"2010-12-01T00:00:00Z","timestamp":1291161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:p> Steroids are used for the prevention and treatment of high-altitude illnesses. However, these agents can cause significant side effects. We report a case of altered mental status, gastrointestinal bleeding, skin rash, and avascular necrosis in a climber taking prophylactic dexamethasone prior to an attempt to climb Mt Everest. High-altitude cerebral edema (HACE), steroid toxicity, and acute adrenal crisis can have similar clinical presentations. Differentiating between these life-threatening conditions at high altitude is essential for successful treatment. <\/jats:p>","DOI":"10.1016\/j.wem.2010.09.006","type":"journal-article","created":{"date-parts":[[2010,12,18]],"date-time":"2010-12-18T09:30:08Z","timestamp":1292664608000},"page":"345-348","source":"Crossref","is-referenced-by-count":22,"title":["Complications of Steroid Use on Mt Everest"],"prefix":"10.1177","volume":"21","author":[{"given":"Bishnu Hari","family":"Subedi","sequence":"first","affiliation":[{"name":"Nepal International Clinic, PO Box 3596, Laldurbar, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jhapindra","family":"Pokharel","sequence":"additional","affiliation":[{"name":"Nepal International Clinic, PO Box 3596, Laldurbar, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torrey L.","family":"Goodman","sequence":"additional","affiliation":[{"name":"Himalyan Rescue Association, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanuraja","family":"Amatya","sequence":"additional","affiliation":[{"name":"Nepal International Clinic, PO Box 3596, Laldurbar, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luanne","family":"Freer","sequence":"additional","affiliation":[{"name":"Himalyan Rescue Association, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalin","family":"Banskota","sequence":"additional","affiliation":[{"name":"Nepal International Clinic, PO Box 3596, Laldurbar, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Johnson","sequence":"additional","affiliation":[{"name":"Himalyan Rescue Association, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buddha","family":"Basnyat","sequence":"additional","affiliation":[{"name":"Oxford Clinical Research Team, Patan Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,12,1]]},"reference":[{"key":"bibr1-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13591-X"},{"key":"bibr2-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200107123450206"},{"key":"bibr3-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8644(199807)106:3<385::AID-AJPA10>3.0.CO;2-X"},{"key":"bibr4-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-03228-5.50006-9"},{"key":"bibr5-j.wem.2010.09.006","unstructured":"West J.B., Schoene R.B., Milledge J.S. High Altitude Medicine and Physiology. 4th ed. London: Hodder Arnold, 2008, 252\u2013293."},{"key":"bibr6-j.wem.2010.09.006","unstructured":"Pollard A., Murdoch D. The High Altitude Medicine Handbook. 3rd ed. Abingdon: Radcliffe Publishing Ltd, 2003, 7\u201324."},{"key":"bibr7-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1024\/0040-5930.58.6.387"},{"key":"bibr8-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70014-6"},{"key":"bibr9-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.301.6756.853"},{"key":"bibr10-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2010.03.002"},{"key":"bibr11-j.wem.2010.09.006","unstructured":"Bezruchka S. Altitude Illness: Prevention and Treatment. 2nd ed. Seattle, WA: The Mountaineers Books, 2005, 39\u201343."},{"key":"bibr12-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1580\/07-WEME-REV-173.1"},{"key":"bibr13-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-145-7-200610030-00007"},{"key":"bibr14-j.wem.2010.09.006","first-page":"541","volume":"148","author":"Zell S.C.","year":"1988","journal-title":"West J Med"},{"key":"bibr15-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198912213212504"},{"key":"bibr16-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.1002\/cpt1975182205"},{"key":"bibr17-j.wem.2010.09.006","first-page":"1666","volume-title":"Goodman & Gilman's the Pharmacological Basis of Therapeutics","author":"Schimmer B.","year":"2001","edition":"10"},{"key":"bibr18-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-197816030-00006"},{"key":"bibr19-j.wem.2010.09.006","doi-asserted-by":"publisher","DOI":"10.2223\/JPED.1773"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603210002991?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603210002991?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2010.09.006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2010.09.006","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2010.09.006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T17:10:26Z","timestamp":1741626626000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2010.09.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1016\/j.wem.2010.09.006"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2010.09.006","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12]]}}}