Congenital Adrenal Hyperplasia
Keywords:
congenital adrenal hyperplasia, congenital virilizing adrenal hyperplasia, 21-hydroxylase deficiency, 11-beta-hydroxylase deficiency, 3-beta-hydroxysteroid-dehydrogenase deficiency, 17-alpha hydroxyls deficiency, lipoid adrenal hyperplasia, StAR deficiencyAbstract
Congenital adrenal hyperplasia (CAH) refers to any of several autosomal recessive diseases resulting from defects in steps of the synthesis of cortisol from cholesterol by the adrenal glands. In affected individuals, the disease begins early in gestation and leads to disease that is manifest at birth. Without cortisol, there is a failure of negative feedback and excessive secretion of corticotropin-releasing hormone from the hypothalamus and ACTH from the anterior pituitary. Continued secretion of ACTH causes unremitting stimulation of the adrenal cortex, leading to hyperplasia (an increase in the number of cells in that tissue). Pathogenesis, frequency, symptomatology, long-term out outcomes and treatment were presented.
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