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ADRENAL HYPERPLASIA, CONGENITAL, DUE TO 17-ALPHA-HYDROXYLASE DEFICIENCY

ADRENAL HYPERPLASIA, CONGENITAL, DUE TO 17-ALPHA-HYDROXYLASE DEFICIENCY
17-ALPHA-HYDROXYLASE DEFICIENCY (CYP17); 17,20-LYASE DEFICIENCY, ISOLATED, INCLUDED
202110
OMIM = Online Mendelian Inheritance of Men
90793
Steroid 17-alpha-hydroxylase/17,20 lyase
1.14.99.9
10q24.32
E25.08
rare (1:50000, >120 cases)
autosomal recessive
variants in the CYP17A1 gene
Combined 17-alpha-Hydroxylase/17,20-Lyase Deficiency - Isolated 17,20-Lyase Deficiency (very rare) females show hypogonadism, males show ambigous genitalia
Laboratory findings    17-Hydroxyprogesterone dec (plasma)
    Adrenocorticotropic hormone (ACTH) (serum)
    Adrenocorticotropic hormone (ACTH) inc (plasma)
    Aldosterone dec (urine)
    Corticosterone inc (plasma)
    Cortisol dec (plasma)
    Deoxycorticosterone (DOC) inc (plasma)
    Deoxycorticosterone (DOC) (plasma)
    Deoxycorticosterone (DOC) inc (urine)
    Glucocorticoids (plasma)
    Potassium inc (serum)
    Pregnenolone inc (plasma)
    Progesterone inc (plasma)
    Sodium inc (serum)
    Tetrahydro-11-deoxycorticosterone inc (urine)
    Tetrahydro-11-deoxycortisol inc (urine)
Symptoms    adrenal hyperplasia
    amenorrhea
    cryptorchism
    episodic course (clinical symptoms)
    genitalia, ambigous
    gynecomastia
    hypertension
    hypokalemia
    hypokalemic hypertension
    metabolic alkalosis
    onset, adolescent
    onset, adulthood
    onset, childhood
    onset, infancy
    onset, neonatal
    osteoporosis
    puberty, delayed or missing