What is the most common cause of congenital adrenal hyperplasia?
The most common cause of CAH is the lack of the enzyme known as 21-hydroxylase. CAH may sometimes be called 21-hydroxylase deficiency. There are other much rarer enzyme deficiencies that also cause CAH .
What is Adrenogenital syndrome and why does it happen?
The adrenogenital syndrome (AGS) is a relatively common inherited metabolic disease, generally caused by a deficiency of the adrenocortical enzyme steroid 21-hydroxylase.
What is associated with congenital adrenal hyperplasia?
Congenital adrenal hyperplasia is an inherited condition caused by mutations in genes that code for enzymes involved in making steroid hormones in the adrenal glands. The most common enzyme defect, 21-hydroxylase deficiency, leads to excess amounts of male hormones being produced by the adrenal glands.
What causes bilateral adrenal hyperplasia?
Bilateral hyperplasia is one cause of primary aldosteronism (also sometimes referred to as primary hyperaldosteronism). Other causes are adrenal adenomas, adrenal carcinoma, and inherited glucocorticoid responsive aldosteronism. Cardiac palpitations may be another symptomatic presentation of bilateral hyperplasia.
What is the pathophysiology of congenital adrenal hyperplasia?
The pathophysiology is due to loss of function mutations leading to cortisol deficiency, increased ACTH secretion, and subsequent increased adrenal androgen secretion. Optimal care for patients with 21-OHD spans their lifetime with the involvement of pediatric and adult healthcare providers.
What are Adrenogenital symptoms?
The symptoms of classic Addison disease, also known as primary adrenal insufficiency, result from the insufficient production of these hormones. Major symptoms include fatigue, hypotension, salt-craving, abdominal pain, nausea or vomiting, darkened skin color, and absence of body hair.
What is the treatment of adrenogenital syndrome?
Ten women and 6 children with adrenogenital syndrome were treated with injections of prednisolone trimethylacetate or methylprednisolone acetate at 2- to 3-week intervals for periods of as long as 22 months.
Who does congenital adrenal hyperplasia affect?
Classic CAH, the most common form of the disease, affects as many as 1 in every 10,000 to 15,000 people living in the U.S. and Europe. Both classic and nonclassic CAH affect people worldwide.