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Identifying risk factors for adrenal suppression in dermatological patients, such as doses greater than 5 to 7.5 mg of prednisone equivalent, duration of glucocorticoid use greater than 3 weeks, certain medications, and comorbidities, can help risk-stratify patients. The use of adrenal gland testing such as basal cortisol levels and adrenocorticotropic hormone stimulation tests can confirm adrenal suppression in patients. This review article provides an approach that dermatologists can use to minimise the risk of adrenal insufficiency in patients discontinuing glucocorticoids and when it may be appropriate to use adrenal gland testing.<\/jats:p>","DOI":"10.1177\/1203475417736278","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T00:19:15Z","timestamp":1507767555000},"page":"175-181","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["An Approach to Minimising Risk of Adrenal Insufficiency When Discontinuing Oral Glucocorticoids"],"prefix":"10.1177","volume":"22","author":[{"given":"Mathew N.","family":"Nicholas","sequence":"first","affiliation":[{"name":"Division of Dermatology, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie K.","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alberta, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlene","family":"Dytoc","sequence":"additional","affiliation":[{"name":"Division of Dermatology, University of Alberta, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,10,11]]},"reference":[{"key":"bibr1-1203475417736278","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2008.07029"},{"key":"bibr2-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-200110000-00006"},{"key":"bibr3-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13492-7"},{"key":"bibr4-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2013.05.014"},{"key":"bibr5-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1002\/art.20884"},{"key":"bibr6-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1177\/014107688708000709"},{"key":"bibr7-1203475417736278","volume-title":"Comprehensive Dermatologic Drug Therapy","author":"Wolverton SE","year":"2007","edition":"2"},{"key":"bibr8-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2015-1218"},{"key":"bibr9-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199710303371807"},{"key":"bibr10-1203475417736278","first-page":"1587","volume-title":"Goodman & Gilman\u2019s The Pharmacological Basis of Therapeutics","author":"Schimmer BP","year":"2006","edition":"11"},{"key":"bibr11-1203475417736278","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-72-1-39"},{"key":"bibr12-1203475417736278","unstructured":"Lansang M, Quinn S. 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