التفاصيل البيبلوغرافية
| العنوان: |
Table_1_46,XX males with congenital adrenal hyperplasia: a clinical and biochemical description.docx |
| المؤلفون: |
Bas P. H. Adriaansen, Agustini Utari, Dineke Westra, Achmad Zulfa Juniarto, Mahayu Dewi Ariani, Annastasia Ediati, Mariska A. M. Schröder, Paul N. Span, Fred C. G. J. Sweep, Stenvert L. S. Drop, Sultana M. H. Faradz, Antonius E. van Herwaarden, Hedi L. Claahsen – van der Grinten |
| سنة النشر: |
2024 |
| المجموعة: |
Frontiers: Figshare |
| مصطلحات موضوعية: |
Endocrinology, Reproduction, Cell Metabolism, congenital adrenal hyperplasia, 21-hydroxylase deficiencyy, 11-hydroxylase deficiency, glucocorticoid, androgen, virilization, 46,XX males, treatment |
| الوصف: |
Introduction Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (21OHD) or 11-hydroxylase deficiency (11OHD) is characterized by underproduction of cortisol and overproduction of adrenal androgens. These androgens lead to a variable degree of virilization of the female external genitalia in 46,XX individuals. Especially in developing countries, diagnosis is often delayed and 46,XX patients might be assigned as males. This study aims to describe the clinical and biochemical characteristics of a unique cohort of untreated male-reared 46,XX classic CAH patients from Indonesia and discusses treatment challenges. Methods Nine untreated classic CAH patients with 46,XX genotype and 21OHD (n=6) or 11OHD (n=3), aged 3-46 years old, were included. Biometrical parameters, clinical characteristics, and biochemical measurements including glucocorticoids, renin, androgens, and the pituitary-gonadal axis were evaluated. Results All patients had low early morning serum cortisol concentrations (median 89 nmol/L) without significant increase after ACTH stimulation. Three patients with salt wasting 21OHD reported one or more periods with seizures and/or vomiting in their past until the age of 6, but not thereafter. The remaining patients reported no severe illness or hospitalization episodes, despite their decreased capacity to produce cortisol. In the 21OHD patients, plasma renin levels were elevated compared to the reference range, and in 11OHD patients renin levels were in the low-normal range. All adult patients had serum testosterone concentrations within the normal male reference range. In 21OHD patients, serum 11-oxygenated androgens comprised 41-60% of the total serum androgen concentrations. Glucocorticoid treatment was offered to all patients, but they refused after counseling as this would reduce their endogenous androgen production and they did not report complaints of their low cortisol levels. Discussion We describe a unique cohort of untreated classic 46,XX male CAH patients without overt clinical ... |
| نوع الوثيقة: |
dataset |
| اللغة: |
unknown |
| Relation: |
https://figshare.com/articles/dataset/Table_1_46_XX_males_with_congenital_adrenal_hyperplasia_a_clinical_and_biochemical_description_docx/26517976 |
| DOI: |
10.3389/fendo.2024.1410122.s001 |
| الاتاحة: |
https://doi.org/10.3389/fendo.2024.1410122.s001
https://figshare.com/articles/dataset/Table_1_46_XX_males_with_congenital_adrenal_hyperplasia_a_clinical_and_biochemical_description_docx/26517976 |
| Rights: |
CC BY 4.0 |
| رقم الانضمام: |
edsbas.426CA78A |
| قاعدة البيانات: |
BASE |