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ANTLEY-BIXLER SYNDROME WITH GENITAL ANOMALIES AND DISORDERED STEROIDOGENESIS; ABS1

ANTLEY-BIXLER SYNDROME WITH GENITAL ANOMALIES AND DISORDERED STEROIDOGENESIS; ABS1
PORD; P450 OXIREDUCTASE DEFICIENCY
201750
OMIM = Online Mendelian Inheritance of Men
63269
NADPH--cytochrome P450 reductase
1.6.2.4
7q11.23
---
very rare
autosomal recessive
Individuals with an Antley-Bixler Syndrome (ABS)-like phenotype ... and ambiguous genitalia and disordered steroidogenesis should be recognized as having a distinct new disease: POR deficiency [Huang N et al. 2005]
Laboratory findings    17-Hydoxypregnenolone [+] normal/inc (plasma)
    17-Hydroxyprogesterone normal/inc (plasma)
    Adrenal androgens (DHEAS, androstenedione) normal/dec (plasma)
    Adrenocorticotropic hormone (ACTH) normal/inc (plasma)
    Androstenedione (plasma)
    Pregnanediol inc (urine)
Symptoms    adrenal insufficiency
    arachnodyctyly
    clitoral hypertrophy
    craniostenosis
    cryptorchism
    genitalia, ambigous
    hydronephrosis
    hypertelorism
    hypospadia
    microcephaly (<2 SD for age)
    micropenis
    oligohydramnion (maternal)
    onset, childhood
    onset, infancy
    onset, neonatal
    polycystic ovaries
    scoliosis
    skeletal changes, skeletal abnormalities
    small mid-face (malar or maxillary hypoplasia)
    virilisation