Tan S Y, Noth R H, Mulrow P J
JAMA. 1978 Jul 14;240(2):123-6.
Plasma 11-deoxycorticosterone levels were manyfold elevated in three adult patients with hypertension and elevated urinary excretion levels of 17-ketosteroids but without Cushing's syndrome. Dexamethasone therapy resulted in suppression of these steroids and in improvement of blood pressure in two of the patients. A partial adrenal 11beta-hydroxylase deficiency appears to best explain these findings.
在三名成年高血压患者中,血浆11-脱氧皮质酮水平升高了许多倍,尿17-酮类固醇排泄水平也升高,但无库欣综合征。地塞米松治疗导致这些类固醇受到抑制,且两名患者的血压得到改善。部分肾上腺11β-羟化酶缺乏似乎最能解释这些发现。