Dzenis I G, Brykova E K, Gertts G, Korsakov S G
Probl Endokrinol (Mosk). 1991 Jan-Feb;37(1):34-7.
Adrenocortical function in carriers of 21-hydroxylase insufficiency and in persons without it was investigated by change in the levels of 17-hydroxyprogesterone and dehydroepiandrosterone before and against a background of prolonged ACTH stimulation. Differences in change of the basal concentrations of these hormones in both groups were absent. Change of adrenocortical function in the carriers was observed against a background of ACTH stimulation only by the blood level of 17-hydroxyprogesterone. Prolonged ACTH stimulation revealed not only quantitative but also qualitative traits of adrenocortical function in carriers of 21-hydroxylase insufficiency. An algorithm for diagnosing this insufficiency was worked out.
通过比较长时间促肾上腺皮质激素(ACTH)刺激前后17-羟孕酮和脱氢表雄酮水平的变化,对21-羟化酶缺乏症携带者和非携带者的肾上腺皮质功能进行了研究。两组中这些激素基础浓度的变化没有差异。仅通过17-羟孕酮的血药浓度,在ACTH刺激的背景下观察到携带者肾上腺皮质功能的变化。长时间的ACTH刺激不仅揭示了21-羟化酶缺乏症携带者肾上腺皮质功能的定量特征,还揭示了其定性特征。制定了一种诊断这种缺乏症的算法。