A forma mais comum de hiperplasia adrenal congênita (HAC) manifesta-se em dois tipos principais: o de "virilização simples" ou o de "perda de sal". Pode causar genitália ambígua em meninas e insuficiência adrenal (um problema nas glândulas suprarrenais, que afeta ambos os sexos). Apresenta-se com desidratação, baixa de açúcar no sangue (hipoglicemia) em recém-nascidos – o que pode ser fatal se não tratado –, e excesso de hormônios masculinos (hiperandrogenia).
Introdução
O que você precisa saber de cara
A forma mais comum de hiperplasia adrenal congênita (HAC) manifesta-se em dois tipos principais: o de "virilização simples" ou o de "perda de sal". Pode causar genitália ambígua em meninas e insuficiência adrenal (um problema nas glândulas suprarrenais, que afeta ambos os sexos). Apresenta-se com desidratação, baixa de açúcar no sangue (hipoglicemia) em recém-nascidos – o que pode ser fatal se não tratado –, e excesso de hormônios masculinos (hiperandrogenia).
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 46 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 67 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
A cytochrome P450 monooxygenase that plays a major role in adrenal steroidogenesis. Catalyzes the hydroxylation at C-21 of progesterone and 17alpha-hydroxyprogesterone to respectively form 11-deoxycorticosterone and 11-deoxycortisol, intermediate metabolites in the biosynthetic pathway of mineralocorticoids and glucocorticoids (PubMed:10602386, PubMed:16984992, PubMed:22014889, PubMed:25855791, PubMed:27721825). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, a
Endoplasmic reticulum membraneMicrosome membrane
Adrenal hyperplasia 3
A form of congenital adrenal hyperplasia, a common recessive disease due to defective synthesis of cortisol. Congenital adrenal hyperplasia is characterized by androgen excess leading to ambiguous genitalia in affected females, rapid somatic growth during childhood in both sexes with premature closure of the epiphyses and short adult stature. Four clinical types: 'salt wasting' (SW, the most severe type), 'simple virilizing' (SV, less severely affected patients), with normal aldosterone biosynthesis, 'non-classic form' or late-onset (NC or LOAH) and 'cryptic' (asymptomatic).
Medicamentos aprovados (FDA)
1 medicamento encontrado nos registros da FDA americana.
Variantes genéticas (ClinVar)
206 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
4 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Hiperplasia suprarrenal congênita clássica por deficiência de 21-hidroxilase
Centros de Referência SUS
24 centros habilitados pelo SUS para Hiperplasia suprarrenal congênita clássica por deficiência de 21-hidroxilase
Centros para Hiperplasia suprarrenal congênita clássica por deficiência de 21-hidroxilase
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital Infantil Albert Sabin
R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital Universitário da UFJF
R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442
Atenção Especializada
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
Hospital Universitário Julio Müller (HUJM)
R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092
Atenção Especializada
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital Universitário Lauro Wanderley (HULW)
R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital Pequeno Príncipe
R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805
Serviço de Referência
Hospital Universitário Regional de Maringá (HUM)
Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108
Atenção Especializada
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Base de São José do Rio Preto
Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798
Atenção Especializada
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
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Publicações mais relevantes
Muscle pain in a woman with congenital adrenal hyperplasia due to 21-hydroxylase deficiency resolved with testosterone therapy. A case report with 10 years of follow-up.
Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (21OHD) requires lifelong glucocorticoid (GC) and mineralocorticoid therapy to prevent adrenal crises and control androgen excess. However, chronic GC overtreatment may result in sustained suppression of adrenal androgens - an underrecognized complication with significant implications for women. Androgens contribute to muscle function, mood regulation, and sexual health, yet symptoms of deficiency are easily misattributed. We report a 32-year-old woman with classical salt-wasting CAH who presented with severe muscle pain, weakness, reduced libido, and depressive symptoms. Laboratory results revealed complete suppression of adrenocorticotrophin hormone, dehydroepiandrosterone sulfate, and testosterone, with normal creatine kinase, electrolytes, metabolic and rheumatologic parameters. Extensive neuromuscular evaluation was unremarkable. Childhood medical records confirmed persistent suppression of adrenal androgens from infancy, indicating long-standing GC overtreatment as the most likely cause. Because GC dose reduction was poorly tolerated and no alternative explanation for her symptoms was identified, low-dose intramuscular testosterone (50 mg every 4-8 weeks) was introduced as compassionate therapy and subsequently stabilized at 25 mg every 4 weeks. Within three months, the patient reported substantial improvement in muscle pain, strength, libido, and mood. Over ten years of follow-up, testosterone therapy remained well tolerated, with no side effects such as virilization, erythrocytosis, hepatotoxicity, dyslipidemia, or menstrual disturbances. Bone density and trabecular microarchitecture remained stable. This case demonstrates that chronic GC overtreatment may lead to profound androgen deficiency in women with CAH, which can manifest as debilitating musculoskeletal and neurobehavioral symptoms. The patient's sustained clinical improvement underscores the physiological importance of androgens in female health and supports consideration of individualized, low-dose testosterone replacement in carefully selected cases. Recognition and targeted treatment of androgen deficiency should form part of long-term CAH management. To our knowledge, this is the first report describing the resolution of chronic myalgia after testosterone therapy in a woman with CAH and complete adrenal androgen suppression.
A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.
We report a rare case of nonclassical 21-hydroxylase deficiency (NC21-OHD) diagnosed in adulthood after being misdiagnosed as polycystic ovary syndrome (PCOS) for 9 years. A 27-year-old Japanese woman presented with longstanding amenorrhea, hirsutism, and polycystic ovarian morphology on ultrasonography but did not exhibit withdrawal bleeding after standard estrogen/progestin (E/P) therapy. Hormonal evaluation revealed a low luteinizing hormone (LH) level, elevated testosterone (T), and a significantly increased 17α-hydroxyprogesterone level, which further increased following adrenocorticotropic hormone stimulation. Genetic analysis identified compound heterozygous mutations in the CYP21A2 gene (c.92C>T; c.293-13C>G), confirming the diagnosis of NC21-OHD. This case underscores the importance of considering NC21-OHD in adolescents and young adults with atypical PCOS features, such as severe hirsutism, abnormal hormonal profiles (low LH with markedly elevated T levels), and resistance to standard E/P therapy.
Perception of women with classic congenital adrenal hyperplasia and their parents on genital surgery and a diagnosis of differences of sex development: a retrospective survey.
Classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency leads to adrenal androgen excess, regularly causing prenatal virilisation of the external genitalia in affected females, commonly corrected by early genital surgery. As this practice is controversial, this study retrospectively assessed patients' and parents' perspective on this matter. Adult female patients with classic CAH who had undergone genital surgery and their parents participated in this single-centre, cross-sectional survey study. Patients completed the female Sexual Function Index (fSFI) and female Sexual Quality of Life (SQOL-F), while parents completed the Decision Regret Scale (DRS). Among 46 patients, 45.7% had one genital surgery, while 54.3% had multiple procedures. Most (80.4%) had their first surgery by the age of five, of which seven had a second surgery by the age of five. In 95.5% of cases, the surgical decision was made by parents. Median (IQR) fSFI score was 20.3 (5.3) and the median (IQR) SQOL-F score was 97.0 (32.5). Among 22 parents, 70.5% showed no or mild regret concerning the decision for surgery, while 29.4% reported moderate to strong regret. Most patients (63.0%) and parents (86.4%) found the term "DSD" inappropriate for CAH. Women with classic CAH often undergo early genital surgery, with their parents being mostly responsible for treatment decisions. Despite sexual dysfunction, patients show good sexual quality of life. Most patients and parents have few or no regrets about the decision to have early genital surgery performed and are largely critical of CAH being labelled as DSD.
The Importance of Disease-specific Growth Charts for Children with Congenital Adrenal Hyperplasia.
Children with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency typically have height, weight, and body mass index (BMI) growth patterns that differ from the general population due to increased androgen and/or glucocorticoid exposures. With the recent surge in the development of new therapies, CAH-specific growth charts are needed to evaluate the effectiveness of these new treatments. Retrospective data from patients aged 0 to 20 years with classic CAH, confirmed by hormonal testing and/or CYP21A2 genotyping, from 2 large clinical databases were analyzed. Specialized charts were developed using the lamda-mu-sigma semiparametric modeling method to generate CAH-specific percentile curves from 0 to 20 years. Nodal-point analyses were conducted to assess differences in incremental growth at 4, 8, 12, 16, and 20 years of age relative to Centers for Disease Control and Prevention (CDC) 2000 normative charts using 1-sided quantile tests and age of adiposity rebound estimated with curve derivative solutions. A total sample of 8692 visits from 515 patients was used. Growth (height-, weight-, BMI-for-age) channels of CAH patients were significantly different over the entire growing period and characterized by diminished pubertal spurt relative to the CDC reference. Onset of adiposity rebound based on BMI-for-age occurred earlier for CAH patients (females 3.3 years, males 3.9 years) compared to their normative counterparts (5-8 years). Our study showed that at incremental time points throughout childhood, children with CAH collectively follow specific differences in growth trajectories as compared to unaffected children. These variations highlight the need for CAH-specific charts to assist in clinical management, appraisal of growth trajectories, and assessment of the impact of new therapies.
Clinical and Biochemical Phenotype Across the Genotypic Spectrum of 21-hydroxylase Deficiency in 457 Individuals.
Genetic testing for 21-hydroxylase deficiency (21OHD) is advantageous when hormonal testing is equivocal, to molecularly confirm diagnosis, and for genetic counseling. To characterize the clinical and biochemical phenotype across the genotypic spectrum of 21OHD in a large cohort using updated genetic methodology. Retrospective study of 457 individuals with 21OHD enrolled in a Natural History Study at the National Institutes of Health Clinical Center. The majority (79%) were compound heterozygous, 46% with chimeric alleles/30-kb deletions including 2.6% with attenuated chimeras, 10.1% with CAH-X (33% with cardiac defects), and 3.7% with genotype-phenotype discordance. The most common mutations among individuals with salt-wasting, simple-virilizing, and nonclassic (NC) phenotypes were In2G, I172N, and V281L, respectively. Rare or novel mutations accounted for 4.3% alleles, 0.33% arose de novo. 17OHP levels at diagnosis varied by genotype group (Null > In2G > simple-virilizing genotypes > P30L > Other NC; P < .001); but maximum values obtained during clinical care over time were similar among all classic and among all NC genotypes. Individuals with P30L had higher 17OHP and lower cortisol at diagnosis compared to other NC genotypes (P < .001) and were more likely to have basal 17OHP >1000 ng/dL (P < .001). Individuals with cryptic NC CAH had lower 17OHP after cosyntropin stimulation compared to those with symptomatic NC CAH (P = .02). A continuum of disease phenotypes exists with biochemical overlap that increases with age. Improving genotype accuracy to include chimera subtyping to identify attenuated chimeras and CAH-X and consideration of P30L as a unique group are important to guide genetic counseling and provide anticipatory guidance in disease management.
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Muscle pain in a woman with congenital adrenal hyperplasia due to 21-hydroxylase deficiency resolved with testosterone therapy. A case report with 10 years of follow-up.
Frontiers in endocrinologyA Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.
The journal of obstetrics and gynaecology researchCase Report: Challenges of an extremely delayed diagnosis of classic congenital adrenal hyperplasia in a completely virilized 46,XX patient.
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European journal of pediatricsImpact of Growth-promoting Therapies on Puberty, Growth, and Final Height in Classical 21-hydroxylase Deficiency.
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Frontiers in endocrinologyPerception of women with classic congenital adrenal hyperplasia and their parents on genital surgery and a diagnosis of differences of sex development: a retrospective survey.
Journal of endocrinological investigationAccurate diagnosis of congenital adrenal hyperplasia due to CYP21A2 variants requires promoter analysis.
European journal of endocrinologyThe Importance of Disease-specific Growth Charts for Children with Congenital Adrenal Hyperplasia.
The Journal of clinical endocrinology and metabolismClinical and Biochemical Phenotype Across the Genotypic Spectrum of 21-hydroxylase Deficiency in 457 Individuals.
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European journal of endocrinologyThe First-Year Outcomes of the Nationwide Neonatal CAH Screening in Türkiye: High Rate of False Positives for 21-Hydroxylase Deficiency and a Higher Detection Rate of Non-Classical Cases.
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Hormones (Athens, Greece)Interpretation of Steroid Biomarkers in 21-Hydroxylase Deficiency and Their Use in Disease Management.
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Frontiers in endocrinologyLong-term cardiometabolic morbidity in young adults with classic 21-hydroxylase deficiency congenital adrenal hyperplasia.
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Hormones (Athens, Greece)Leukocyte Telomere Length in Children With Congenital Adrenal Hyperplasia.
The Journal of clinical endocrinology and metabolismEthnic and National Differences in Congenital Adrenal Hyperplasia Incidence: A Systematic Review and Meta-Analysis.
Hormone research in paediatricsElevated bone turnover markers predict bone mineral density accrual in adolescents with 21-hydroxylase deficiency.
Clinical endocrinologyGenetic analysis and novel variation identification in Chinese patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
The Journal of steroid biochemistry and molecular biologyInfertility with hypogonadotropic hypogonadism revealing a classic form of 21 hydroxylase deficiency in a 39 year-old man.
Annales d'endocrinologieAdrenal steroid profiling as a diagnostic tool to differentiate polycystic ovary syndrome from nonclassic congenital adrenal hyperplasia: pinpointing easy screening possibilities and normal cutoff levels using liquid chromatography tandem mass spectrometry.
Fertility and sterilityMolecular Diagnosis of Steroid 21-Hydroxylase Deficiency: A Practical Approach.
Frontiers in endocrinologyA proof of concept of a machine learning algorithm to predict late-onset 21-hydroxylase deficiency in children with premature pubic hair.
The Journal of steroid biochemistry and molecular biologyDifferences in hormonal levels between heterozygous CYP21A2 pathogenic variant carriers, non-carriers, and females with non-classic congenital hyperplasia.
Archives of endocrinology and metabolismAssociation of androgen excess and bone mineral density in women with classical congenital adrenal hyperplasia with 21-hydroxylase deficiency.
Archives of osteoporosisPrenatal dexamethasone treatment for classic 21-hydroxylase deficiency in Europe.
European journal of endocrinologyNovel treatments for congenital adrenal hyperplasia.
Reviews in endocrine & metabolic disordersAdrenal Morphology as an Indicator of Long-Term Disease Control in Adults with Classic 21-Hydroxylase Deficiency.
Endocrinology and metabolism (Seoul, Korea)Characteristics of In2G Variant in Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.
Frontiers in endocrinologyMolecular analysis and genotype-phenotype correlations in patients with classical congenital adrenal hyperplasia due to 21-hydroxylase deficiency from southern Poland - experience of a clinical center.
Hormones (Athens, Greece)24-Hour Profiles of 11-Oxygenated C19 Steroids and Δ5-Steroid Sulfates during Oral and Continuous Subcutaneous Glucocorticoids in 21-Hydroxylase Deficiency.
Frontiers in endocrinologyScreening for testicular adrenal rest tumors among children with congenital adrenal hyperplasia at King Fahad Medical City, Saudi Arabia.
Journal of pediatric endocrinology & metabolism : JPEMLong-Term Health Outcomes of Korean Adults With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.
Frontiers in endocrinologyCrinecerfont Lowers Elevated Hormone Markers in Adults With 21-Hydroxylase Deficiency Congenital Adrenal Hyperplasia.
The Journal of clinical endocrinology and metabolismCharacteristics of Growth in Children With Classic Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency During Adrenarche and Beyond.
The Journal of clinical endocrinology and metabolismLow Adrenomedullary Function Predicts Acute Illness in Infants With Classical Congenital Adrenal Hyperplasia.
The Journal of clinical endocrinology and metabolismProduction of 11-Oxygenated Androgens by Testicular Adrenal Rest Tumors.
The Journal of clinical endocrinology and metabolismRare Coexistence of Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency and Turner Syndrome: A Case Report and Brief Literature Review.
Journal of clinical research in pediatric endocrinologyClassical congenital adrenal hyperplasia due to 21-hydroxylase deficiency (21-OHD) in adult males: Clinical presentation, hormone function and the detection of adrenal and testicular adrenal rest tumors (TARTs).
Endocrinologia, diabetes y nutricionGenetic aetiology of primary adrenal insufficiency in Chinese children.
BMC medical genomicsSecond-tier Testing for 21-Hydroxylase Deficiency in the Netherlands: A Newborn Screening Pilot Study.
The Journal of clinical endocrinology and metabolismSalivary Profiles of 11-oxygenated Androgens Follow a Diurnal Rhythm in Patients With Congenital Adrenal Hyperplasia.
The Journal of clinical endocrinology and metabolismTildacerfont in Adults With Classic Congenital Adrenal Hyperplasia: Results from Two Phase 2 Studies.
The Journal of clinical endocrinology and metabolism[Newborn screening for congenital hypothyroidism and congenital adrenal hyperplasia: Benefits and costs of a successful public health program].
Medecine sciences : M/SAssessing the risk of having a child with classic 21-hydroxylase deficiency: a new paradigm.
Trends in endocrinology and metabolism: TEMClinical and Hormonal Profiles Correlate With Molecular Characteristics in Patients With 11β-Hydroxylase Deficiency.
The Journal of clinical endocrinology and metabolismBioelectrical Impedance Phase Angle and Its Determinants in Patients with Classic Congenital Adrenal Hyperplasia.
Journal of the American Nutrition AssociationClinical outcomes in 21-hydroxylase deficiency.
Current opinion in endocrinology, diabetes, and obesityMolecular Analysis of 21-Hydroxylase Deficiency Reveals Two Novel Severe Genotypes in Affected Newborns.
Molecular diagnosis & therapyPOR polymorphisms are associated with 21 hydroxylase deficiency.
Journal of endocrinological investigation[Clinical characteristics of 21 infertile women with non-classic 21-hydroxylase deficiency].
Zhonghua fu chan ke za zhiFirst insights into the genetics of 21-hydroxylase deficiency in the Roma population.
Clinical endocrinologyNonclassic Congenital Adrenal Hyperplasia: What Do Endocrinologists Need to Know?
Endocrinology and metabolism clinics of North AmericaThe relationship of carotid intima-media thickness with anthropometric and metabolic parameters in patients with classic congenital adrenal hyperplasia.
Turkish journal of medical sciencesInternational practice of corticosteroid replacement therapy in congenital adrenal hyperplasia: data from the I-CAH registry.
European journal of endocrinologyEffects of mitotane on testicular adrenal rest tumors in congenital adrenal hyperplasia due to 21-hydroxylase deficiency: a retrospective series of five patients.
European journal of endocrinologyInsulin Resistance in Congenital Adrenal Hyperplasia is Compensated for by Reduced Insulin Clearance.
The Journal of clinical endocrinology and metabolismCo-existence of Congenital Adrenal Hyperplasia and Familial Hypokalemic Periodic Paralysis due to CYP21A2 and SCN4A Pathogenic Variants.
Journal of clinical research in pediatric endocrinology[Analysis of the degree of clinical suspect in patients with congenital adrenal hyperplasia by 21-hydroxylase deficiency before obtaining the result of the newborn screening program of the autonomous Community of Madrid.].
Revista espanola de salud publicaUpdate on the Swedish Newborn Screening for Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.
International journal of neonatal screeningMolecular diagnosis of patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
BMC endocrine disordersThe progression of salt-wasting and the body weight change during the first 2 weeks of life in classical 21-hydroxylase deficiency patients.
Clinical endocrinologyFalse elevation of serum cortisol in chemiluminescence immunoassay by Siemens Advia Centaur XP system in 21-hydroxylase deficiency: an 'endocrine laboma'.
BMJ case reportsEffects of androgen excess and glucocorticoid exposure on bone health in adult patients with 21-hydroxylase deficiency.
The Journal of steroid biochemistry and molecular biologyNon-Classic Disorder of Adrenal Steroidogenesis and Clinical Dilemmas in 21-Hydroxylase Deficiency Combined with Backdoor Androgen Pathway. Mini-Review and Case Report.
International journal of molecular sciencesRecurrent hepatocellular carcinoma and non-classic adreno-genital syndrome.
European review for medical and pharmacological sciencesClinical outcomes and characteristics of P30L mutations in congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
EndocrineGenetic characterization of a large cohort of Argentine 21-hydroxylase Deficiency.
Clinical endocrinologySimple virilising congenital adrenal hyperplasia in monozygotic twins: A rare report and review of previous cases.
Pediatric endocrinology, diabetes, and metabolismSteroid biomarkers for identifying non-classic adrenal hyperplasia due to 21-hydroxylase deficiency in a population of PCOS with suspicious levels of 17OH-progesterone.
Journal of endocrinological investigationA rare CYP21A2 haplotype clarifies the phenotype-genotype discrepancy in an Italian patient with Non Classical Congenital Adrenal Hyperplasia (NC-CAH).
Molecular biology reports[Detection of CYP21A2 gene mutations and the differences in the levels of hormones in patients with 21-hydroxylase deficiency].
Zhonghua yi xue za zhiNeonatal Screening for Congenital Adrenal Hyperplasia in Turkey: Outcomes of Extended Pilot Study in 241,083 Infants.
Journal of clinical research in pediatric endocrinologyCongenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency: An Update on Genetic Analysis of CYP21A2 Gene.
Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes AssociationAbiraterone acetate treatment lowers 11-oxygenated androgens.
European journal of endocrinologyWOMEN WITH NONCLASSIC CONGENITAL ADRENAL HYPERPLASIA HAVE GENDER, SEXUALITY, AND QUALITY-OF-LIFE FEATURES SIMILAR TO THOSE OF NONAFFECTED WOMEN.
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical EndocrinologistsClinical and hormonal characteristics in heterozygote carriers of congenital adrenal hyperplasia.
The Journal of steroid biochemistry and molecular biologyUrinary steroidomic profiles by LC-MS/MS to monitor classic 21-Hydroxylase deficiency.
The Journal of steroid biochemistry and molecular biologyAbsence of Testicular Adrenal Rest Tumors in Newborns, Infants, and Toddlers with Classical Congenital Adrenal Hyperplasia.
Hormone research in paediatricsEffect of androgen excess and glucocorticoid exposure on metabolic risk profiles in patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
The Journal of steroid biochemistry and molecular biologyThe distribution of intrafamilial CYP21A2 mutant alleles and investigation of clinical features in Turkish children and their siblings in Southeastern Anatolia.
Journal of pediatric endocrinology & metabolism : JPEMCortisol and Aldosterone Responses to Hypoglycemia and Na Depletion in Women With Non-Classic 21-Hydroxylase Deficiency.
The Journal of clinical endocrinology and metabolismThe Spectrum of Genetic Defects in Congenital Adrenal Hyperplasia in the Population of Cyprus: A Retrospective Analysis.
Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolismeInfluence of Genotype and Hyperandrogenism on Sexual Function in Women With Congenital Adrenal Hyperplasia.
The journal of sexual medicinePregnancy in Congenital Adrenal Hyperplasia.
Endocrinology and metabolism clinics of North AmericaNovel non-classic CYP21A2 variants, including combined alleles, identified in patients with congenital adrenal hyperplasia.
Clinical biochemistryHEALTH-RELATED QUALITY OF LIFE IN CHILDREN AND ADOLESCENTS WITH NONCLASSIC CONGENITAL ADRENAL HYPERPLASIA.
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical EndocrinologistsReview of Health Problems in Adult Patients with Classic Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency.
Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes AssociationGrowth Pattern and Clinical Profile of Indian Children with Classical 21-Hydroxylase Deficiency Congenital Adrenal Hyperplasia on Treatment.
Indian journal of pediatricsMiscarriages in families with an offspring that have classic congenital adrenal hyperplasia and 21-hydroxylase deficiency.
BMC pregnancy and childbirthFemale Pseudo Hermaphroditism: Late Onset Congenital Adrenal Hyperplasia.
Journal of Ayub Medical College, Abbottabad : JAMCBirth Size in Neonates with Congenital Adrenal Hyperplasia due to 21-hydroxylase Deficiency.
Journal of clinical research in pediatric endocrinologyPrevalence of Testicular Adrenal Rest Tumor and Factors Associated with Its Development in Congenital Adrenal Hyperplasia.
Hormone research in paediatricsClassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency - the next disease included in the neonatal screening program in Poland.
Developmental period medicineClinical presentation and mutational spectrum in a series of 166 patients with classical 21-hydroxylase deficiency from South China.
Clinica chimica acta; international journal of clinical chemistryPhenotype heterogeneity of congenital adrenal hyperplasia due to genetic mosaicism and concomitant nephrogenic diabetes insipidus in a sibling.
BMC medical geneticsBasal levels of 17-hydroxyprogesterone can distinguish children with isolated precocious pubarche.
Pediatric researchMortality in children with classic congenital adrenal hyperplasia and 21-hydroxylase deficiency (CAH) in Germany.
BMC endocrine disordersMECHANISMS IN ENDOCRINOLOGY: Rare defects in adrenal steroidogenesis.
European journal of endocrinology[Rare combination of Turner syndrome and congenital adrenal hyperplasia with 21-hydroxylase deficiency: case report].
Vnitrni lekarstviVanishing 17-Hydroxyprogesterone Concentrations in 21-Hydroxylase Deficiency.
Hormone research in paediatricsCongenital adrenal hyperplasia due to 21-hydroxylase deficiency in South Africa.
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde[Steroid 21-hydroxylase deficiency, the most frequent cause of congenital adrenal hyperplasia].
Orvosi hetilapGrowth hormone deficiency with advanced bone age: phenotypic interaction between GHRH receptor and CYP21A2 mutations diagnosed by sanger and whole exome sequencing.
Archives of endocrinology and metabolismCircadian blood pressure profiles and ambulatory arterial stiffness index in children and adolescents with congenital adrenal hyperplasia due to 21-hydroxylase deficiency in relation to their genotypes.
Neuro endocrinology lettersChildren with premature pubarche: is an alterated neonatal 17-Ohp screening test a predictive factor?
Italian journal of pediatricsVaginal bleeding and a giant ovarian cyst in an infant with 21-hydroxylase deficiency.
Journal of pediatric endocrinology & metabolism : JPEMCYP21A2 mutation update: Comprehensive analysis of databases and published genetic variants.
Human mutationPrenatal Treatment with Dexamethasone in Suspected Congenital Adrenal Hyperplasia and Orofacial Cleft: a Case Report and Review of the Literature.
Pediatric endocrinology reviews : PERIntima media thickness of common carotids and abdominal aorta in children and adolescents with congenital adrenal hyperplasia due to 21-hydroxylase deficiency in relation to their genotypes.
Neuro endocrinology lettersThe prevalence of non-classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency in Russian women with hyperandrogenism.
Human fertility (Cambridge, England)Non-classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency revisited: an update with a special focus on adolescent and adult women.
Human reproduction updateCYP21A2 intronic variants causing 21-hydroxylase deficiency.
Metabolism: clinical and experimentalPsychological vulnerability to stress in carriers of congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
Hormones (Athens, Greece)Molecular diagnosis of Chinese patients with 21-hydroxylase deficiency and analysis of genotype-phenotype correlations.
The Journal of international medical researchClinical characteristics of Taiwanese children with congenital adrenal hyperplasia due to 21-hydroxylase deficiency detected by neonatal screening.
Journal of the Formosan Medical Association = Taiwan yi zhiClinical significance of 11-oxygenated androgens.
Current opinion in endocrinology, diabetes, and obesityCardio-metabolic risk factors in youth with classical 21-hydroxylase deficiency.
European journal of pediatrics[Recommendations for the diagnosis and treatment of classic forms of 21-hydroxylase-deficient congenital adrenal hyperplasia].
Anales de pediatria (Barcelona, Spain : 2003)MANAGEMENT OF ENDOCRINE DISEASE: Congenital adrenal hyperplasia due to 21-hydroxylase deficiency: update on the management of adult patients and prenatal treatment.
European journal of endocrinology[Analysis of CYP21A2 gene mutations among patients with classical steroid 21-hydroxylase deficiency].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsTesticular Adrenal Rest Tumors in Boys and Young Adults with Congenital Adrenal Hyperplasia.
The Journal of urologyThe urinary steroidome of treated children with classic 21-hydroxylase deficiency.
The Journal of steroid biochemistry and molecular biologyNew developments in prenatal diagnosis of congenital adrenal hyperplasia.
The Journal of steroid biochemistry and molecular biologyUnusual phenotype of congenital adrenal hyperplasia (CAH) with a novel mutation of the CYP21A2 gene.
Journal of pediatric endocrinology & metabolism : JPEMAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Muscle pain in a woman with congenital adrenal hyperplasia due to 21-hydroxylase deficiency resolved with testosterone therapy. A case report with 10 years of follow-up.
- A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.
- Perception of women with classic congenital adrenal hyperplasia and their parents on genital surgery and a diagnosis of differences of sex development: a retrospective survey.
- The Importance of Disease-specific Growth Charts for Children with Congenital Adrenal Hyperplasia.
- Clinical and Biochemical Phenotype Across the Genotypic Spectrum of 21-hydroxylase Deficiency in 457 Individuals.
- Heterogeneous Correlation Aware Regularization for Sequential Confidence Calibration.
- Ischemia-Reperfusion Injury in Porcine Aortic Valvular Endothelial and Interstitial Cells.
- Image quality comparisons of coil setups in 3T MRI for brain and head and neck radiotherapy simulations.
- Wisdom of the Experts Versus Opinions of the Crowd in Hospital Quality Ratings: Analysis of Hospital Compare Star Ratings and Google Star Ratings.
- Alterations of Gut Bacteria in Hirschsprung Disease and Hirschsprung-Associated Enterocolitis.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:90794(Orphanet)
- OMIM OMIM:201910(OMIM)
- MONDO:0008728(MONDO)
- Hiperplasia Adrenal Congenita(PCDT · Ministério da Saúde)
- GARD:12665(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q4127185(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
