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[先天性肾上腺增生症。1例病例报告及文献复习]

[Congenital adrenal hyperplasia. Presentation of a case and review of the literature].

作者信息

Kleiman-Podlipsky J, Cymet-Wulfovych D, Zafra-de la Rosa G, Cherem-Cherem B

出版信息

Ginecol Obstet Mex. 1996 Oct;64:455-8.

PMID:8974949
Abstract

Steroid 11 beta-hydroxylase deficiency is an autosomal recessive hereditary defect and one of the causes of congenital adrenal hyperplasia. Prenatal exposure to excess androgens results in virilization of the female fetus. Newborn males have normal genitalia. Postnatally, untreated females as well as males present with signs of androgen excess. Three forths of classic 21-hydroxylase deficiency cases do not effectively synthesize aldosterone and are salt-wasting, a condition that is potentially fatal. With carefully supervised medical treatment, congenital adrenal hyperplasia patients have the capacity for normal puberty and fertility.

摘要

类固醇11β-羟化酶缺乏症是一种常染色体隐性遗传缺陷,也是先天性肾上腺皮质增生症的病因之一。胎儿期暴露于过量雄激素会导致女性胎儿男性化。新生儿男性生殖器正常。出生后,未经治疗的女性和男性都会出现雄激素过多的症状。四分之三的典型21-羟化酶缺乏症患者不能有效合成醛固酮,属于失盐型,这种情况可能会致命。经过精心监督的药物治疗,先天性肾上腺皮质增生症患者能够正常进入青春期并具备生育能力。

相似文献

1
[Congenital adrenal hyperplasia. Presentation of a case and review of the literature].[先天性肾上腺增生症。1例病例报告及文献复习]
Ginecol Obstet Mex. 1996 Oct;64:455-8.
2
Steroid 21-hydroxylase deficiency (congenital adrenal hyperplasia).类固醇21-羟化酶缺乏症(先天性肾上腺皮质增生症)。
Am J Med. 1995 Jan 16;98(1A):2S-8S. doi: 10.1016/s0002-9343(99)80052-7.
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[Congenital adrenal hyperplasia due to 21-hydroxylase enzyme deficiency].[21-羟化酶缺乏所致先天性肾上腺皮质增生症]
Lijec Vjesn. 1996 Mar;118 Suppl 1:13-6.
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Sonography in prenatal diagnosis of congenital adrenal hyperplasia.超声检查在先天性肾上腺皮质增生症产前诊断中的应用
Prenat Diagn. 2004 Aug;24(8):627-30. doi: 10.1002/pd.948.
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[Congenital adrenal hyperplasia].[先天性肾上腺增生症]
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Late-onset steroid 21-hydroxylase deficiency: a variant of classical congenital adrenal hyperplasia.迟发型类固醇21-羟化酶缺乏症:经典型先天性肾上腺皮质增生症的一种变异型。
J Clin Endocrinol Metab. 1982 Nov;55(5):817-27. doi: 10.1210/jcem-55-5-817.
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Steroid 21-hydroxylase deficiency: genotype may not predict phenotype.类固醇21-羟化酶缺乏症:基因型可能无法预测表型。
J Clin Endocrinol Metab. 1995 Aug;80(8):2322-9. doi: 10.1210/jcem.80.8.7629224.
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Two novel CYP11B1 mutations in congenital adrenal hyperplasia due to steroid 11β hydroxylase deficiency in a Tunisian family.在一个突尼斯家族中,类固醇 11β 羟化酶缺陷导致先天性肾上腺皮质增生症,发现了两种 CYP11B1 新突变。
Gen Comp Endocrinol. 2012 Feb 1;175(3):514-8. doi: 10.1016/j.ygcen.2011.12.017. Epub 2011 Dec 22.
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Genetics of adrenal steroid 21-hydroxylase deficiency.肾上腺类固醇21-羟化酶缺乏症的遗传学
Endocr Rev. 1986 Aug;7(3):331-49. doi: 10.1210/edrv-7-3-331.
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Virilization without adrenal hyperplasia in 21-hydroxylase deficiency during fetal life.
J Clin Endocrinol Metab. 1984 Mar;58(3):574-7. doi: 10.1210/jcem-58-3-574.

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