期刊论文详细信息
Endocrinology, Diabetes & Metabolism Case Reports
A Greek girl with 11β-hydroxylase deficiency due to compound heterozygosity for two novel mutations in CYP11B1 gene
article
Chrisanthi Marakaki1  Anna Papadopoulou1  Olga Karapanou1  Dimitrios T Papadimitriou1  Kleanthis Kleanthous1  Anastasios Papadimitriou1 
[1] Third Department of Pediatrics, Attikon University Hospital
关键词: Paediatric;    Female;    White;    Greece;    Adrenal;    Adrenal;    ACTH;    Androgens;    Androstenedione;    17OHP;    Deoxycortisol;    DHEA;    Renin;    Testosterone;    Congenital adrenal hyperplasia;    Virilisation (abnormal);    ACTH;    ACTH stimulation;    Genetic analysis;    Plasma renin activity;    DHEA sulphate;    Molecular genetic analysis;    Androstenedione;    17OHP;    Testosterone;    DNA sequencing;    Hydrocortisone;    Glucocorticoids;    Paediatrics;    New disease or syndrome: presentations/diagnosis/management;    October;    2015;   
DOI  :  10.1530/EDM-15-0074
学科分类:血液学
来源: Bioscientifica Ltd.
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【 摘 要 】

11b-hydroxylase deficiency (11b-OHD), an autosomal recessive inherited disorder, accounts for 5–8% of congenital adrenalhyperplasia. In Greece, no cases of 11b-OHD have been described so far. The patient presented at the age of 13 months withmild virilization of external genitalia and pubic hair development since the age of 3 months. Hormonal profile showedelevated 11-deoxycortisol, adrenal androgens and ACTH levels. ACTH stimulation test was compatible with 11b-OHD. DNA ofthe proband and her parents was isolated and genotyped for CYP11B1 gene coding cytochrome P450c11. The girl was foundto be compound heterozygous for two CYP11B1 novel mutations, p.Ala386Glu (exon 7), inherited from the father andp.Leu471Argin (exon 9) from the mother. Hydrocortisone supplementation therapy was initiated. Four years afterpresentation she remains normotensive, her growth pattern is normal and the bone age remains advanced despite adequatesuppression of adrenal androgens.

【 授权许可】

CC BY-NC-ND   

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