[Steroid 21-hydroxylase deficiency, the most frequent cause of congenital adrenal hyperplasia].

Abstract:

:Congenital adrenal hyperplasia is a group of genetic diseases due to the disablement of 7 genes; one of them is steroid 21-hydroxylase deficiency. The genes of congenital adrenal hyperplasia encode enzymes taking part in the steroidogenesis of adrenal gland. Steroid 21-hydroxylase deficiency is an autosomal recessive disorder caused by mutations of the steroid 21-hydroxylase gene. The mutations of steroid 21-hydroxylase gene cause 95% of the congenital adrenal hyperplasia cases. Although the non-classic steroid 21-hydroxylase deficiency with mild symptoms is seldom diagnosed, the classic steroid 21-hydroxylase deficiency may lead to life-threatening salt-wasting and adrenal crises due to the insufficient aldosterone and cortisol serum levels. The classic type requires life-long steroid replacement which may result in cushingoid side effects, and typical comorbidities may be also developed. The patients' quality of life is decreased, and their mortality is much higher than that of the population without steroid 21-hydroxylase deficiency. The diagnosis, consequences and the patients' life-long clinical care require a multidisciplinary approach: the specialists in pediatrics, internal medicine, endocrinology, laboratory medicine, genetic diagnostics, surgery, obstetrics-gynecology and psychology need to work together. Orv Hetil. 2018; 159(7): 269-277.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Doleschall M,Török D,Mészáros K,Luczay A,Halász Z,Németh K,Szücs N,Kiss R,Tőke J,Sólyom J,Fekete G,Patócs A,Igaz P,Tóth M

doi

10.1556/650.2018.30986

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

269-277

issue

7

eissn

0030-6002

issn

1788-6120

journal_volume

159

pub_type

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