Medical College of Wisconsin
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Congenital adrenal hyperplasia caused by 21-hydroxylase deficiency. Its molecular basis and its remaining therapeutic problems. Endocrinol Metab Clin North Am 1991 Jun;20(2):277-96

Date

06/01/1991

Pubmed ID

1879400

DOI

10.1016/s0889-8529(18)30269-x

Scopus ID

2-s2.0-0026045042 (requires institutional sign-in at Scopus site)   22 Citations

Abstract

This article discusses congenital adrenal hyperplasia (CAH) caused by a deficiency of 21-hydroxylase, which represents 90% of all cases of CAH. As in other genetic disorders of metabolism, the symptoms of CAH are related to both the decrease of the final products of metabolism and the accumulation of precursors that are not normally secreted or that are secreted in only very small amounts. The biochemistry, pathophysiology, treatment, genetics, and long-term follow-up (including fertility and sexual orientation) of both the simple virilizing form and the salt-losing form of 21-hydroxylase deficiency are presented, as well as the possibility of prenatal treatment.

Author List

Migeon CJ, Donohoue PA

Author

Patricia Donohoue MD Emeritus Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adrenal Hyperplasia, Congenital
Adult
Cytochrome P-450 Enzyme System
Female
Humans
Male
Mutation
Pregnancy
Prenatal Diagnosis