{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Ta de Clinicagem","title":"Episódio 56 - Clinicagens sobre Corticoide","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/07d5f512\"></iframe>","width":"100%","height":180,"duration":2983,"description":"Pedro, Iago e Rapha debatem sobre 4 clinicagens sobre uma classe de medicamentos extremamente comum na prática: os corticoides. 1. Comp desmamar corticoide 2. Quais seus efeitos adversos 3. Quais os impactos dos corticoides na imunidade e 4. Existe alergia a corticoide?  \n\nMinutagem\n(5:25) Desmame do corticoide  \n(18:17) Efeitos adversos do paciente em uso de corticoide \n(32:42) Infecção associadas ao corticoide  \n(38:35) Existe alergia a corticoide? \n(44:00) Salves \n(47:20) Resposta desafio anterior (troponina) \n(48:22) Desafio dessa semana \nGostou do episódio? Tem algum comentário para nós? Manda uma mensagem no @tadeclinicagem ou tadeclinicagem@gmail.com. \nReferências\n1. Glucocorticoid Withdrawl. Daniel E Furst. Kenneth G Saag. Uptodate Agosto 2020. \n2. HOCHBERG, Ze’ev; PACAK, Karel; CHROUSOS, George P. Endocrine withdrawal syndromes. Endocrine reviews, v. 24, n. 4, p. 523-538, 2003. \n3. TORNATORE, Kathleen M. et al. Pharmacokinetics of methylprednisolone in elderly and young healthy males. Journal of the American Geriatrics Society, v. 42, n. 10, p. 1118-1122, 1994. \n4. BYYNY, Richard L. Withdrawal from glucocorticoid therapy. New England Journal of Medicine, v. 295, n. 1, p. 30-32, 1976. \n5. DONALD, R. A. Dexamethasone suppression of the plasma corticosterone response to stress in the rat. The Journal of physiology, v. 182, n. 3, p. 603, 1966. \n6. FRASER, Charles G.; PREUSS, Fred S.; BIGFORD, Walter D. Adrenal atrophy and irreversible shock associated with cortisone therapy. Journal of the American Medical Association, v. 149, n. 17, p. 1542-1543, 1952. \n7. JOSEPH, Rebecca M. et al. Systemic glucocorticoid therapy and adrenal insufficiency in adults: a systematic review. In: Seminars in arthritis and rheumatism. WB Saunders, 2016. p. 133-141. \n8. VOLKMANN, Elizabeth R. et al. We still don’t know how to taper glucocorticoids in rheumatoid arthritis, and we can do better. 2013. \n9. RICHTER, Bernd; NEISES, Gudrun; CLAR, Christine. Glucocorticoid withdrawal...","thumbnail_url":"https://img.transistorcdn.com/lqcQlEC1m6aWV5CJqKTqNKKWbLXziZKK97FisF4ZuuE/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lODM1/ZmI0ODIxZjAxM2U1/ZGUwMjhkYTYwNzZi/MGNmNi5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}