Combined 21- and llß-Hydroxylase Deficiency in Familial Congenital Adrenal Hyperplasia*

Combined 21- and llß-Hydroxylase Deficiency in Familial Congenital Adrenal Hyperplasia*
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家族性先天性肾上腺增生症中 21 羟化酶和 11β 羟化酶联合缺乏*

DOI:
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发表时间:
1985
期刊:
影响因子:
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通讯作者:
A. Rösler
A. Rösler
中科院分区:
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文献类型:
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作者:
A. Hurwitz;C. Brautbar;A. Milwidsky;P. Vecsei;A. Milewicz;D. Navot;A. Rösler

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Studies in three families (A, B, and C) revealedfive patients with congenital adrenal hyperplasia (CAH) due to partial and combined 21- and 11β3-hydroxylase deficiency. One patient (A-ll 1), a 23-yr-old severely virilized chromosomalfemale, was reared as a male, and two females (B-ll 2 and C-l) complained only of hirsutism, acne, and menstrual abnormalities. Patients A-ll 2 and B-ll 8 (17½ and 10 yr old) were asymptomatic and detected by finding an HLA genotype identical to that of their respectively affected brother and sister. Three patients (A-ll 1, A-ll 2, and C-l) had moderate hypertension. In spite of the wide range of clinical manifestations, all ndividuals had elevated androgen levels, while cortisol secretion was severely impaired only in A-ll 2. 21-Hydroxylase deficiency was diagnosed on the basis of markedly increased plasma and urinary levels of 17-hydroxyprogesterone (17-½) and 21- deoxycortisol and their respective urinary metabolites pregnanetriol and pregnanetriolone. PRA was elevated in t...
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影响因子: --
作者:
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影响因子: --
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影响因子: --
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