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The infant demonstrated adrenal suppression manifested by a baseline cortisol concentration below reported levels in infants of similar birth weight and postnatal age. We hypothesized that he had developed adrenal insufficiency as a result of the prolonged systemic steroid administration used to treat his respiratory problems. We further hypothesized that inhaled beclomethasone therapy would aid in the infant\u2019s recovery phase during relative adrenal insufficiency\u2014and so substituted inhaled for systemic steroids. Inhaled corticosteroid treatment improved the clinical respiratory course and postnatal growth of this premature infant with BPD without inhibiting his recovery from adrenal insufficiency.<\/jats:p>","DOI":"10.1891\/0730-0832.19.8.27","type":"journal-article","created":{"date-parts":[[2012,5,8]],"date-time":"2012-05-08T07:45:07Z","timestamp":1336463107000},"page":"27-32","source":"Crossref","is-referenced-by-count":1,"title":["The Use of Inhaled Glucocorticosteroids and Recovery from Adrenal Suppression after Systemic Steroid Use in a VLBW Premature Infant with BPD: Case Report and Literature Discussion"],"prefix":"10.1891","volume":"19","author":[{"given":"Debra","family":"Karinski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhruv","family":"Balkundi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lewis","family":"Rubin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Padbury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2000,12,1]]},"reference":[{"issue":"2","key":"1","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/S0031-3955(16)38726-0","article-title":"Pathophysiology and treatment of bronchopulmonary dysplasia. 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