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10/31/2025 3:03:02 PM | Browse: 47 | Download: 172
Publication Name World Journal of Clinical Pediatrics
Manuscript ID 110374
Country India
Received
2025-06-06 16:53
Peer-Review Started
2025-06-06 16:53
First Decision by Editorial Office Director
2025-06-17 09:30
Return for Revision
2025-06-17 09:30
Revised
2025-06-29 01:06
Publication Fee Transferred
Second Decision by Editor
2025-09-18 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-09-18 04:32
Articles in Press
2025-09-18 04:32
Edit the Manuscript by Language Editor
2025-09-25 00:01
Typeset the Manuscript
2025-10-20 02:01
Publish the Manuscript Online
2025-10-31 15:03
ISSN 2219-2808 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Pediatrics
Manuscript Type Minireviews
Article Title Impact of glucocorticoid therapy on hypothalamic-pituitary-adrenal axis function in pediatric nephrotic syndrome: A narrative review
Manuscript Source Invited Manuscript
All Author List Subhankar Sarkar, Asiri Samantha Abeyagunawardena and Rajiv Sinha
ORCID
Author(s) ORCID Number
Subhankar Sarkar http://orcid.org/0000-0002-1316-0666
Rajiv Sinha http://orcid.org/0000-0003-4525-092X
Funding Agency and Grant Number
Corresponding Author Rajiv Sinha, Division of Paediatric Nephrology, Institute of Child Health, Biresh Guha Street, Kolkata 700 017, India. rajivsinha_in@yahoo.com
Key Words Glucocorticoids; Hypothalamic-pituitary-adrenal axis; Adrenal insufficiency; Nephrotic syndrome; Prednisolone; Cortisol; Hypothalamic-pituitary-adrenal axis suppression; Steroid therapy; Low-dose Synacthen test
Core Tip Children with nephrotic syndrome often require repeated glucocorticoid therapy, which can lead to hypothalamic-pituitary-adrenal axis suppression and secondary adrenal insufficiency. This impaired stress response may contribute to relapse during infections. This review summarizes the mechanisms, diagnostic methods, clinical implications, and preventive strategies, underscoring the need for early identification and tailored steroid management to reduce long-term risks.
Publish Date 2025-10-31 15:03
Citation

Sarkar S, Abeyagunawardena AS, Sinha R. Impact of glucocorticoid therapy on hypothalamic-pituitary-adrenal axis function in pediatric nephrotic syndrome: A narrative review. World J Clin Pediatr 2025; 14(4): 110374

URL https://www.wjgnet.com/2219-2808/full/v14/i4/110374.htm
DOI https://dx.doi.org/10.5409/wjcp.v14.i4.110374
Full Article (PDF) WJCP-14-110374-with-cover.pdf
Manuscript File 110374_Auto_Edited_063741.docx
Answering Reviewers 110374-answering-reviewers.pdf
Audio Core Tip 110374-audio.mp4
Conflict-of-Interest Disclosure Form 110374-conflict-of-interest-statement.pdf
Copyright License Agreement 110374-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 110374-non-native-speakers.pdf
Supplementary Material 110374-supplementary-material.pdf
Peer-review Report 110374-peer-reviews.pdf
Scientific Misconduct Check 110374-scientific-misconduct-check.png
Scientific Editor Work List 110374-scientific-editor-work-list.pdf
CrossCheck Report 110374-crosscheck-report.pdf