Congenital Adrenal Hyperplasia Due to 17-α-hydroxylase Deficiency: A Case Report.

TouchREVIEWS in endocrinology Pub Date : 2021-11-01 Epub Date: 2021-09-08 DOI:10.17925/EE.2021.17.2.138
Lucas Ribeiro Dos Santos, Erico Paulo Heilbrun, Charles Simões Félix, Márcio Luis Duarte
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Abstract

Congenital adrenal hyperplasia, an innate error in adrenal steroid biosynthesis, triggers a wide range of consequences based on the level of enzyme blockade. Due to the various forms of enzyme deficiency and degree of penetration, the clinical features are very variable. In this case report, we present a form of congenital adrenal hyperplasia due to an enzymatic defect of CYP17A1, with a late diagnosis. The recognition of this pathology should occur as early as possible to avoid sequelae, both metabolic and psychological.

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17-α-羟化酶缺乏所致先天性肾上腺增生1例。
先天性肾上腺增生是肾上腺类固醇生物合成的先天错误,根据酶阻断的水平会引发广泛的后果。由于各种形式的酶缺乏和渗透程度,临床特征是非常不同的。在这个病例报告中,我们提出了一种由于CYP17A1酶缺陷导致的先天性肾上腺增生,诊断较晚。对这种病理的认识应尽早发生,以避免代谢和心理上的后遗症。
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