[Principles of mechanical ventilation in status asthmaticus].
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Biomedical subjects
Publications and source records attributed to R Suchnicka.
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One patients with nonatopic aspirin-sensitive asthma and another one with atopic asthma responding favourably to aspirin with a history of hydrocortisone intolerance were examined. The patients were challenged with intravenous, inhaled and oral hydrocortisone and its solvent. They showed significant fall of FEV1 after provocation tests with hydrocortisone but not after the solvent. Intradermal skin testing performed with hydrocortisone and its solvent was negative, what suggests that the intolerance to hydrocortisone was probably nonallergic feature. The patients tolerated well the intravenous challenge with prednisolone and oral challenge with prednisone, prednisolone and betamethasone. We suggest the replacement of intravenous hydrocortisone with these corticosteroids in the treatment of patients with hydrocortisone intolerance.
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The 35 patients with bronchial asthma undergoing continuous steroid therapy were examined in order to reveal any signs of steroid myopathy. More than 80% of patients complained of muscle weakness. In the physical examination the motor function was correct in the majority of patients. Muscular enzymes and blood electrolytes were normal. EMG has shown typical myopathic changes In over 80% of patients. The diagnosis of subclinical steroid myopathy was based mainly on EMG examination. This myopathy was independent of sex, age, dose an duration of therapy.
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