Bessac L, Bost M, Bachelot Y, Andrini P
Service de médecine infantile, CHRU de Grenoble, France.
Pediatrie. 1988;43(2):129-30.
Two siblings with chronic adrenal insufficiency, diagnosed at 12 years of age, failed to show a spontaneous onset of puberty in spite of adequate adrenocortical therapy. Testosterone plasma levels were low, without concomitant increase in gonadotropin levels. This association strongly suggest a sex-linked cytomegalic adrenocortical hypoplasia.
两名患有慢性肾上腺皮质功能不全的兄弟姐妹,12岁时被确诊,尽管接受了充分的肾上腺皮质治疗,但仍未出现青春期自发启动。血浆睾酮水平较低,促性腺激素水平未随之升高。这种关联强烈提示为X连锁巨细胞性肾上腺皮质发育不全。