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Differential Diagnosis of Adrenal Enzyme Defects

Table 286-1

Deficiency

Newborn Phenotype

Postnatal Virilization

Other

StAR (also called lipoid congenital adrenal hyperplasia)

Infantile female

Salt loss

3ß-Hydroxylase

Ambiguous in XY and XX

+

Salt loss

17α-Hydroxylase (P450c17)

Infantile female

Delayed puberty

11ß-Hydroxylase (P450c11 ß)

Male in XY, ambiguous in XX

+

Hypertension

21 Hydroxylase (P450c21)

Male in XY, ambiguous in XX

+

Salt loss

18 Hydroxylase (P450c11B2)

Normal

Salt loss

Abbreviations: HT, hypertension; StAR, steroidogenic acute regulatory protein function.
From: Styne D. Pediatric Endocrinology. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.


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Chapter 286: Intersex
Chapter 48: Recognition of Genetic-Metabolic Diseases by Clinical Diagnosis and Screening
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Chapter 286: Intersex
Chapter 48: Recognition of Genetic Metabolic Diseases by Clinical Diagnosis and Screening