Langzeitbehandlung mit Kortikoiden bei Kindern mit Asthma bronchiale führt zu Nebenwirkungen (Cushing-Syndrom) und suchtähnlichen Zuständen. Todesfälle ereignen sich meist ganz unerwartet und plötzlich, so dass ausser Herzinsuffizienz besonders Nebennierenrindenatrophie vermutet wird. Wenn Dauertherapie erforderlich ist, sollte sie energisch zur causalen Behandlung ausgenutzt werden. Die Stimulierung der Nebennierenrinde erreicht bei Klimakuren an der Nordsee einen Höhepunkt um den 10. Tag. Um diesen klimatherapeutischen Effekt auszunutzen, setzten wir die Kortikoid-Dauertherapie meistens gleich ab und hatten überwiegend Erfolg.

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