Raras
Buscar doenças, sintomas, genes...
Hiperplasia suprarrenal congênita clássica por deficiência de 21-hidroxilase
ORPHA:90794CID-10 · E25.0CID-11 · 5A71.01OMIM 201910PCDT · SUSDOENÇA RARA

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).

Mantido por Agente Raras·Colaborar como especialista →

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

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
7.0
Europe
Início
Adolescent
+ adult, antenatal, childhood, infancy, neonatal
🏥
SUS: Cobertura completaScore: 80%
PCDT disponívelTriagem neonatal (Fase 1)Centros em: PA, PR, SC, RS, ES +10CID-10: E25.0
🇧🇷Dados SUS / DATASUS2024
890
internações/ano
R$ 3.210
custo médio/internação
ESTADOS COM MAIS INTERNAÇÕES
SPMGRJBARS
PROCEDIMENTOS SIGTAP (1)
0202080013
Teste do pezinho (triagem neonatal)newborn_screening
Você se identifica com essa condição?
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

📏
Crescimento
9 sintomas
🫘
Rins
5 sintomas
🦴
Ossos e articulações
4 sintomas
❤️
Coração
1 sintomas
🫃
Digestivo
1 sintomas
🧬
Pele e cabelo
1 sintomas

+ 46 sintomas em outras categorias

Características mais comuns

90%prev.
Aumento da progesterona circulante
Muito frequente (99-80%)
90%prev.
Nível diminuído de cortisol circulante
Muito frequente (99-80%)
90%prev.
Resposta anormal ao teste de estimulação com ACTH
Muito frequente (99-80%)
90%prev.
Aumento da concentração circulante de andrógenos
Muito frequente (99-80%)
90%prev.
17-hidroxiprogesterona circulante elevada
Muito frequente (99-80%)
55%prev.
Hipernatriúria
Frequente (79-30%)
67sintomas
Muito frequente (5)
Frequente (36)
Ocasional (15)
Sem dados (11)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 67 características clínicas mais associadas, ordenadas por frequência.

Aumento da progesterona circulanteIncreased circulating progesterone
Muito frequente (99-80%)90%
Nível diminuído de cortisol circulanteDecreased circulating cortisol level
Muito frequente (99-80%)90%
Resposta anormal ao teste de estimulação com ACTHAbnormal response to ACTH stimulation test
Muito frequente (99-80%)90%
Aumento da concentração circulante de andrógenosIncreased circulating androgen concentration
Muito frequente (99-80%)90%
17-hidroxiprogesterona circulante elevadaElevated circulating 17-hydroxyprogesterone
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Últimos 10 anos200publicações
Pico202539 papers
Linha do tempo
2026Hoje · 2026🧪 2008Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Triagem neonatal (Teste do Pezinho)

👶
Teste: 17-OH-Progesterona em sangue seco
Fase 1 do PNTNTriagem nacionalimplemented_nationally
Incidência no Brasil: 1:15.000

A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.

Encontrou um erro ou informação desatualizada? Sugira uma correção →

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.

CYP21A2Steroid 21-hydroxylaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

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

LOCALIZAÇÃO

Endoplasmic reticulum membraneMicrosome membrane

VIAS BIOLÓGICAS (3)
Glucocorticoid biosynthesisEndogenous sterolsMineralocorticoid biosynthesis
MECANISMO DE DOENÇA

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).

EXPRESSÃO TECIDUAL(Tecido-específico)
Glândula adrenal
1673.2 TPM
Fígado
17.5 TPM
Ovário
4.6 TPM
Baço
3.3 TPM
Fallopian Tube
3.2 TPM
OUTRAS DOENÇAS (3)
classic congenital adrenal hyperplasia due to 21-hydroxylase deficiencyclassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency, simple virilizing formclassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency, salt wasting form
HGNC:2600UniProt:P08686

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 Crenessity (CRINECERFONT)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

206 variantes patogênicas registradas no ClinVar.

🧬 CYP21A2: NM_000500.9(CYP21A2):c.1381_1398del (p.Ser461_Pro466del) ()
🧬 CYP21A2: NM_000500.9(CYP21A2):c.710_719delinsAGGAGGAGAA (p.Ile237_Met240delinsLysGluGluLys) ()
🧬 CYP21A2: NM_000500.9(CYP21A2):c.1088C>T (p.Ala363Val) ()
🧬 CYP21A2: NM_000500.9(CYP21A2):c.738+2T>C ()
🧬 CYP21A2: NM_000500.9(CYP21A2):c.1301T>C (p.Leu434Pro) ()
Ver todas no ClinVar

Vias biológicas (Reactome)

4 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico1
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 1 ensaio
Carregando informações de tratamento...

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

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Infantil Albert Sabin

R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Universitário da UFJF

R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442

Atenção Especializada

Rota
Anomalias Congênitas

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Julio Müller (HUJM)

R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092

Atenção Especializada

Rota
Anomalias Congênitas

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Lauro Wanderley (HULW)

R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470

Atenção Especializada

Rota
Anomalias Congênitas

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Pequeno Príncipe

R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Universitário Regional de Maringá (HUM)

Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias Congênitas

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

1 ensaios clínicos encontrados.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

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 endocrinology2026

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.

#2

A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.

The journal of obstetrics and gynaecology research2026 Feb

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.

#3

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.

Journal of endocrinological investigation2026 Feb

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.

#4

The Importance of Disease-specific Growth Charts for Children with Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism2026 Mar 17

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.

#5

Clinical and Biochemical Phenotype Across the Genotypic Spectrum of 21-hydroxylase Deficiency in 457 Individuals.

The Journal of clinical endocrinology and metabolism2026 Mar 17

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.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC29 artigos no totalmostrando 199

2026

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 endocrinology
2026

A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.

The journal of obstetrics and gynaecology research
2025

Case Report: Challenges of an extremely delayed diagnosis of classic congenital adrenal hyperplasia in a completely virilized 46,XX patient.

Frontiers in endocrinology
2025

Carrier screening for multiple complex monogenic diseases using long-read sequencing: a population-based study of premarital couples in Shanghai.

Human genomics
2025

Bilateral giant adrenal myelolipomas: a rare complication of classical congenital adrenal hyperplasia.

BMJ case reports
2025

Beyond endocrine features in non-classical congenital adrenal hyperplasia: a narrative review of psychoneuro-social perspectives in pediatric and adolescent patients.

European journal of pediatrics
2025

Impact of Growth-promoting Therapies on Puberty, Growth, and Final Height in Classical 21-hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Comprehensive characterization of 21-hydroxylase deficiency in a Chinese pediatric cohort: phenotype, steroid profiles and genetics.

Frontiers in endocrinology
2026

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.

Journal of endocrinological investigation
2025

Accurate diagnosis of congenital adrenal hyperplasia due to CYP21A2 variants requires promoter analysis.

European journal of endocrinology
2026

The Importance of Disease-specific Growth Charts for Children with Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism
2026

Clinical and Biochemical Phenotype Across the Genotypic Spectrum of 21-hydroxylase Deficiency in 457 Individuals.

The Journal of clinical endocrinology and metabolism
2025

Newborn screening for congenital adrenal hyperplasia due to 21 hydroxylase deficiency: the Italian experience 2006-2019.

Journal of endocrinological investigation
2025

21-deoxycortisol as a second-tier test in congenital adrenal hyperplasia newborn screening in The Netherlands: two-year evaluation.

Archives of disease in childhood
2025

How should glucocorticoid and mineralocorticoid replacement be optimised in a young patient with classic 21-hydroxylase congenital adrenal hyperplasia?

Internal medicine journal
2025

Non-classical congenital adrenal hyperplasia: current insights into clinical implications, diagnosis and treatment.

Endocrine
2025

Genotype-Phenotype Correlation in Children With Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency Using Next Generation Sequencing.

Molecular genetics &amp; genomic medicine
2025

Predicting treatment outcome in congenital adrenal hyperplasia using urine steroidomics and machine learning.

European journal of endocrinology
2025

The 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.

Journal of clinical research in pediatric endocrinology
2025

Long-term outcomes of congenital adrenal hyperplasia due to 21-hydroxylase deficiency: a retrospective study from a tertiary care center in Saudi Arabia.

Frontiers in endocrinology
2025

Causal associations between congenital adrenal hyperplasia and neuropsychiatric conditions- a Mendelian Randomization Study.

Endocrine
2026

Glucocorticoid Dose and Type are Associated with Depression Scores in Youth with Classical Congenital Adrenal Hyperplasia.

Journal of clinical research in pediatric endocrinology
2025

Growth characteristics of children with 21-hydroxylase deficiency and the value of steroid hormones in height assessment.

BMC pediatrics
2025

Unique Case Report: A Rare Association of 21-Hydroxylase Deficiency with Triple X Karyotype.

Genes
2025

Adrenal steroid hormone responses to exercise under thermal stress: Potential role for nonclassic congenital adrenal hyperplasia in heat illness susceptibility.

Physiological reports
2025

Immunophenotypic Implications of Reverse-Circadian Glucocorticoid Treatment in Congenital Adrenal Hyperplasia.

International journal of molecular sciences
2025

Genetics in Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency and Clinical Implications.

Journal of the Endocrine Society
2025

Glucocorticoid therapy in classic congenital adrenal hyperplasia: traditional and new treatment paradigms.

Expert review of endocrinology &amp; metabolism
2025

Semaglutide and laparoscopic sleeve gastrectomy in an adolescent with congenital adrenal hyperplasia due to 21-hydroxylase: a case report.

Journal of medical case reports
2025

Nationwide carrier screening for congenital adrenal hyperplasia: integrated approach of CYP21A2 pathogenic variant genotyping and comprehensive large gene deletion analysis.

BMC medical genomics
2025

Clinical Manifestations and Treatment Challenges in Infants and Children With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Genetics and Pathophysiology of Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Challenges in Adolescent and Adult Males With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Barriers to the Management of Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Clinical Manifestations and Challenges in Adolescent and Adult Females With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Future Directions in the Management of Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Life With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency: Challenges and Burdens.

The Journal of clinical endocrinology and metabolism
2025

Mental Health Issues Associated With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

Treatment and Follow-up of Congenital Adrenal Hyperplasia Due to 21-hydroxylase Deficiency in Childhood and Adolescence.

Journal of clinical research in pediatric endocrinology
2025

Clinical, Biochemical and Molecular Characteristics of Congenital Adrenal Hyperplasia Due to 21-hydroxylase Deficiency.

Journal of clinical research in pediatric endocrinology
2024

[Detection and characterization of the types of CYP21A1P/CYP21A2 and TNXA/TNXB fused genes by long-read sequencing among children with Steroid 21-hydroxylase deficiency].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2024

Adrenal adenoma secreting 17-hydroxyprogesterone mimicking non-classical 21-hydroxylase deficiency.

Frontiers in endocrinology
2025

Evaluation of Sleep Health in Children With Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

CRH receptor antagonist crinecerfont - a promising new treatment option for patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2025

Anastrozole Improves Height Outcomes in Growing Children With Congenital Adrenal Hyperplasia Due to 21-hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2025

21-Hydroxylase Deficiency Detected in Neonatal Screening: High Probability of False Negativity in Late Onset Form.

Experimental and clinical endocrinology &amp; diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
2024

Clinical characteristics and treatment during preconception and perinatal period of infertile women with non-classical 21-hydroxylase deficiency.

Reproductive health
2024

Prevalence of adrenal rest tumors and course of gonadal dysfunction in a clinical sample of men with congenital adrenal hyperplasia: a longitudinal analysis over 10 years.

European journal of endocrinology
2025

Free Cortisol and Free 21-Deoxycortisol in the Clinical Evaluation of Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism
2024

46,XX males with congenital adrenal hyperplasia: a clinical and biochemical description.

Frontiers in endocrinology
2024

Genotype and Phenotype of 21-Hydroxylase Deficiency: A Single Center Experience from Western India.

Indian pediatrics
2024

Phase 3 Trial of Crinecerfont in Adult Congenital Adrenal Hyperplasia.

The New England journal of medicine
2024

Abiraterone in Classic Congenital Adrenal Hyperplasia: Results of Medical Therapy Before Adrenalectomy.

JCEM case reports
2024

Isotretinoin-unresponsive acne as a sign of a congenital disorder: a case of 21-hydroxylase deficiency.

Dermatology reports
2024

Landscape of congenital adrenal hyperplasia cases in adult endocrinology clinics of Türkiye-a nation-wide multicentre study.

Endocrine
2024

Rare nonclassic type of Congenital adrenal hyperplasia due to 21-hydroxylase deficiency and genotype-phenotypic correlation.

Heliyon
2024

Beckwith-Wiedemann syndrome mimicking the classical form of congenital adrenal hyperplasia in newborn screening.

Archives of endocrinology and metabolism
2024

Congenital Adrenal Hyperplasia.

Pediatrics in review
2024

Genetics of 21-hydroxylase deficiency: Clinical presentation should guide the investigation.

American journal of medical genetics. Part A
2024

Pregnancy management of IVF-ET pregnancies in a patient with classical 21-hydroxylase deficiency: A case report and review of the literature.

European journal of obstetrics, gynecology, and reproductive biology
2024

Sexual dimorphism in anxiety is programmed in-utero by sex-steroids: Proof of concept using a disease-model and stress responses to COVID pandemic.

Psychiatry research
2023

Hypoglycaemia in adrenal insufficiency.

Frontiers in endocrinology
2023

Clinical features of non-classical 21-hydroxylase deficiency after normal newborn mass screening.

Pediatrics international : official journal of the Japan Pediatric Society
2024

Characteristics of Patients with Classic Congenital Adrenal Hyperplasia Missed on the Newborn Screen.

Hormone research in paediatrics
2024

A MinION-based Long-Read Sequencing Application With One-Step PCR for the Genetic Diagnosis of 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2023

Genetic Characterization of a Cohort of Italian Patients with Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

Molecular diagnosis &amp; therapy
2023

[Experience of successful laparoscopic sleeve resection of the stomach and treatment of morbid obesity in a patient with a classic form of congenital adrenal dysfunction].

Problemy endokrinologii
2023

Monozygotic twins with identical premature timing of acne onset: A Case report.

The Australasian journal of dermatology
2023

Current and future perspectives on clinical management of classic 21-hydroxylase deficiency.

Endocrine journal
2023

Assessment of the Degree of Clinical Suspicion of 21-Hydroxylase Deficiency Prior to the Newborn Screening Result.

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
2023

The prevalence and genotype of 21-hydroxylase deficiency in the Croatian Romani population.

Frontiers in endocrinology
2023

Mutation distributions among patients with congenital adrenal hyperplasia from five regions of Brazil: a systematic review.

Archives of endocrinology and metabolism
2023

Genetic and clinical characteristics including occurrence of testicular adrenal rest tumors in Slovak and Slovenian patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

Frontiers in endocrinology
2023

Cost-effective genotyping for classical congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (21-OHD) in resource-poor settings: multiplex ligation probe amplification (MLPA) with/without sequential next-generation sequencing (NGS).

Hormones (Athens, Greece)
2023

Interpretation of Steroid Biomarkers in 21-Hydroxylase Deficiency and Their Use in Disease Management.

The Journal of clinical endocrinology and metabolism
2023

Case Report: Anastrozole as a monotherapy for pre-pubertal children with non-classic congenital adrenal hyperplasia.

Frontiers in endocrinology
2023

Caring for a Child with Congenital Adrenal Hyperplasia Diagnosed by Newborn Screening: Parental Health-Related Quality of Life, Coping Patterns, and Needs.

International journal of environmental research and public health
2022

The underlying cause of the simple virilizing phenotype in patients with 21-hydroxylase deficiency harboring P31L variant.

Frontiers in endocrinology
2023

Long-term cardiometabolic morbidity in young adults with classic 21-hydroxylase deficiency congenital adrenal hyperplasia.

Endocrine
2023

Compromised Adult Height in Females with Non-Classical Congenital Adrenal Hyperplasia Diagnosed in Childhood.

Hormone research in paediatrics
2022

Screening for non-classic congenital adrenal hyperplasia in women: New insights using different immunoassays.

Frontiers in endocrinology
2022

Challenges in treatment of patients with non-classic congenital adrenal hyperplasia.

Frontiers in endocrinology
2022

Higher Body Fat but Similar Phase Angle Values in Patients with the Classical Form of Congenital Adrenal Hyperplasia in Comparison to a Control Group.

Nutrients
2023

Genotype-phenotype association in congenital adrenal hyperplasia due to 21-hydroxylase deficiency in children.

Clinical endocrinology
2023

Combining metabolomics and machine learning models as a tool to distinguish non-classic 21-hydroxylase deficiency from polycystic ovary syndrome without adrenocorticotropic hormone testing.

Human reproduction (Oxford, England)
2023

Steroid Profiling in the Amniotic Fluid: Reference Range for 12 Steroids and Interest in 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2023

The management of congenital adrenal hyperplasia during preconception, pregnancy, and postpartum.

Reviews in endocrine &amp; metabolic disorders
2022

Body composition in children and adolescents with non-classic congenital adrenal hyperplasia and the risk for components of metabolic syndrome: An observational study.

Frontiers in endocrinology
2023

Salt-wasting congenital adrenal hyperplasia phenotype as a result of the TNXA/TNXB chimera 1 (CAH-X CH-1) and the pathogenic IVS2-13A/C > G in CYP21A2 gene.

Hormones (Athens, Greece)
2023

Leukocyte Telomere Length in Children With Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism
2023

Ethnic and National Differences in Congenital Adrenal Hyperplasia Incidence: A Systematic Review and Meta-Analysis.

Hormone research in paediatrics
2023

Elevated bone turnover markers predict bone mineral density accrual in adolescents with 21-hydroxylase deficiency.

Clinical endocrinology
2022

Genetic analysis and novel variation identification in Chinese patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

The Journal of steroid biochemistry and molecular biology
2022

Infertility with hypogonadotropic hypogonadism revealing a classic form of 21 hydroxylase deficiency in a 39 year-old man.

Annales d'endocrinologie
2022

Adrenal 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 sterility
2022

Molecular Diagnosis of Steroid 21-Hydroxylase Deficiency: A Practical Approach.

Frontiers in endocrinology
2022

A 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 biology
2022

Differences in hormonal levels between heterozygous CYP21A2 pathogenic variant carriers, non-carriers, and females with non-classic congenital hyperplasia.

Archives of endocrinology and metabolism
2022

Association of androgen excess and bone mineral density in women with classical congenital adrenal hyperplasia with 21-hydroxylase deficiency.

Archives of osteoporosis
2022

Prenatal dexamethasone treatment for classic 21-hydroxylase deficiency in Europe.

European journal of endocrinology
2022

Novel treatments for congenital adrenal hyperplasia.

Reviews in endocrine &amp; metabolic disorders
2022

Adrenal Morphology as an Indicator of Long-Term Disease Control in Adults with Classic 21-Hydroxylase Deficiency.

Endocrinology and metabolism (Seoul, Korea)
2021

Characteristics of In2G Variant in Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

Frontiers in endocrinology
2022

Molecular 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)
2021

24-Hour Profiles of 11-Oxygenated C19 Steroids and Δ5-Steroid Sulfates during Oral and Continuous Subcutaneous Glucocorticoids in 21-Hydroxylase Deficiency.

Frontiers in endocrinology
2022

Screening for testicular adrenal rest tumors among children with congenital adrenal hyperplasia at King Fahad Medical City, Saudi Arabia.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2021

Long-Term Health Outcomes of Korean Adults With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

Frontiers in endocrinology
2022

Crinecerfont Lowers Elevated Hormone Markers in Adults With 21-Hydroxylase Deficiency Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism
2022

Characteristics of Growth in Children With Classic Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency During Adrenarche and Beyond.

The Journal of clinical endocrinology and metabolism
2022

Low Adrenomedullary Function Predicts Acute Illness in Infants With Classical Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism
2022

Production of 11-Oxygenated Androgens by Testicular Adrenal Rest Tumors.

The Journal of clinical endocrinology and metabolism
2023

Rare 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 endocrinology
2021

Classical 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 nutricion
2021

Genetic aetiology of primary adrenal insufficiency in Chinese children.

BMC medical genomics
2021

Second-tier Testing for 21-Hydroxylase Deficiency in the Netherlands: A Newborn Screening Pilot Study.

The Journal of clinical endocrinology and metabolism
2021

Salivary Profiles of 11-oxygenated Androgens Follow a Diurnal Rhythm in Patients With Congenital Adrenal Hyperplasia.

The Journal of clinical endocrinology and metabolism
2021

Tildacerfont in Adults With Classic Congenital Adrenal Hyperplasia: Results from Two Phase 2 Studies.

The Journal of clinical endocrinology and metabolism
2021

[Newborn screening for congenital hypothyroidism and congenital adrenal hyperplasia: Benefits and costs of a successful public health program].

Medecine sciences : M/S
2021

Assessing the risk of having a child with classic 21-hydroxylase deficiency: a new paradigm.

Trends in endocrinology and metabolism: TEM
2021

Clinical and Hormonal Profiles Correlate With Molecular Characteristics in Patients With 11β-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2022

Bioelectrical Impedance Phase Angle and Its Determinants in Patients with Classic Congenital Adrenal Hyperplasia.

Journal of the American Nutrition Association
2021

Clinical outcomes in 21-hydroxylase deficiency.

Current opinion in endocrinology, diabetes, and obesity
2021

Molecular Analysis of 21-Hydroxylase Deficiency Reveals Two Novel Severe Genotypes in Affected Newborns.

Molecular diagnosis &amp; therapy
2021

POR polymorphisms are associated with 21 hydroxylase deficiency.

Journal of endocrinological investigation
2021

[Clinical characteristics of 21 infertile women with non-classic 21-hydroxylase deficiency].

Zhonghua fu chan ke za zhi
2021

First insights into the genetics of 21-hydroxylase deficiency in the Roma population.

Clinical endocrinology
2021

Nonclassic Congenital Adrenal Hyperplasia: What Do Endocrinologists Need to Know?

Endocrinology and metabolism clinics of North America
2021

The relationship of carotid intima-media thickness with anthropometric and metabolic parameters in patients with classic congenital adrenal hyperplasia.

Turkish journal of medical sciences
2021

International practice of corticosteroid replacement therapy in congenital adrenal hyperplasia: data from the I-CAH registry.

European journal of endocrinology
2021

Effects 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 endocrinology
2021

Insulin Resistance in Congenital Adrenal Hyperplasia is Compensated for by Reduced Insulin Clearance.

The Journal of clinical endocrinology and metabolism
2021

Co-existence of Congenital Adrenal Hyperplasia and Familial Hypokalemic Periodic Paralysis due to CYP21A2 and SCN4A Pathogenic Variants.

Journal of clinical research in pediatric endocrinology
2020

[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 publica
2020

Update on the Swedish Newborn Screening for Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

International journal of neonatal screening
2020

Molecular diagnosis of patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

BMC endocrine disorders
2021

The progression of salt-wasting and the body weight change during the first 2 weeks of life in classical 21-hydroxylase deficiency patients.

Clinical endocrinology
2020

False elevation of serum cortisol in chemiluminescence immunoassay by Siemens Advia Centaur XP system in 21-hydroxylase deficiency: an 'endocrine laboma'.

BMJ case reports
2020

Effects of androgen excess and glucocorticoid exposure on bone health in adult patients with 21-hydroxylase deficiency.

The Journal of steroid biochemistry and molecular biology
2020

Non-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 sciences
2020

Recurrent hepatocellular carcinoma and non-classic adreno-genital syndrome.

European review for medical and pharmacological sciences
2020

Clinical outcomes and characteristics of P30L mutations in congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

Endocrine
2020

Genetic characterization of a large cohort of Argentine 21-hydroxylase Deficiency.

Clinical endocrinology
2020

Simple virilising congenital adrenal hyperplasia in monozygotic twins: A rare report and review of previous cases.

Pediatric endocrinology, diabetes, and metabolism
2020

Steroid 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 investigation
2020

A rare CYP21A2 haplotype clarifies the phenotype-genotype discrepancy in an Italian patient with Non Classical Congenital Adrenal Hyperplasia (NC-CAH).

Molecular biology reports
2020

[Detection of CYP21A2 gene mutations and the differences in the levels of hormones in patients with 21-hydroxylase deficiency].

Zhonghua yi xue za zhi
2020

Neonatal Screening for Congenital Adrenal Hyperplasia in Turkey: Outcomes of Extended Pilot Study in 241,083 Infants.

Journal of clinical research in pediatric endocrinology
2021

Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency: An Update on Genetic Analysis of CYP21A2 Gene.

Experimental and clinical endocrinology &amp; diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
2020

Abiraterone acetate treatment lowers 11-oxygenated androgens.

European journal of endocrinology
2020

WOMEN 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 Endocrinologists
2020

Clinical and hormonal characteristics in heterozygote carriers of congenital adrenal hyperplasia.

The Journal of steroid biochemistry and molecular biology
2020

Urinary steroidomic profiles by LC-MS/MS to monitor classic 21-Hydroxylase deficiency.

The Journal of steroid biochemistry and molecular biology
2019

Absence of Testicular Adrenal Rest Tumors in Newborns, Infants, and Toddlers with Classical Congenital Adrenal Hyperplasia.

Hormone research in paediatrics
2020

Effect 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 biology
2019

The distribution of intrafamilial CYP21A2 mutant alleles and investigation of clinical features in Turkish children and their siblings in Southeastern Anatolia.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2020

Cortisol and Aldosterone Responses to Hypoglycemia and Na Depletion in Women With Non-Classic 21-Hydroxylase Deficiency.

The Journal of clinical endocrinology and metabolism
2019

The 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 metabolisme
2019

Influence of Genotype and Hyperandrogenism on Sexual Function in Women With Congenital Adrenal Hyperplasia.

The journal of sexual medicine
2019

Pregnancy in Congenital Adrenal Hyperplasia.

Endocrinology and metabolism clinics of North America
2019

Novel non-classic CYP21A2 variants, including combined alleles, identified in patients with congenital adrenal hyperplasia.

Clinical biochemistry
2019

HEALTH-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 Endocrinologists
2019

Review of Health Problems in Adult Patients with Classic Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency.

Experimental and clinical endocrinology &amp; diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
2019

Growth Pattern and Clinical Profile of Indian Children with Classical 21-Hydroxylase Deficiency Congenital Adrenal Hyperplasia on Treatment.

Indian journal of pediatrics
2018

Miscarriages in families with an offspring that have classic congenital adrenal hyperplasia and 21-hydroxylase deficiency.

BMC pregnancy and childbirth
2018

Female Pseudo Hermaphroditism: Late Onset Congenital Adrenal Hyperplasia.

Journal of Ayub Medical College, Abbottabad : JAMC
2019

Birth Size in Neonates with Congenital Adrenal Hyperplasia due to 21-hydroxylase Deficiency.

Journal of clinical research in pediatric endocrinology
2018

Prevalence of Testicular Adrenal Rest Tumor and Factors Associated with Its Development in Congenital Adrenal Hyperplasia.

Hormone research in paediatrics
2018

Classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency - the next disease included in the neonatal screening program in Poland.

Developmental period medicine
2018

Clinical 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 chemistry
2018

Phenotype heterogeneity of congenital adrenal hyperplasia due to genetic mosaicism and concomitant nephrogenic diabetes insipidus in a sibling.

BMC medical genetics
2018

Basal levels of 17-hydroxyprogesterone can distinguish children with isolated precocious pubarche.

Pediatric research
2018

Mortality in children with classic congenital adrenal hyperplasia and 21-hydroxylase deficiency (CAH) in Germany.

BMC endocrine disorders
2018

MECHANISMS IN ENDOCRINOLOGY: Rare defects in adrenal steroidogenesis.

European journal of endocrinology
2018

[Rare combination of Turner syndrome and congenital adrenal hyperplasia with 21-hydroxylase deficiency: case report].

Vnitrni lekarstvi
2018

Vanishing 17-Hydroxyprogesterone Concentrations in 21-Hydroxylase Deficiency.

Hormone research in paediatrics
2018

Congenital adrenal hyperplasia due to 21-hydroxylase deficiency in South Africa.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
2018

[Steroid 21-hydroxylase deficiency, the most frequent cause of congenital adrenal hyperplasia].

Orvosi hetilap
2017

Growth 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 metabolism
2017

Circadian 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 letters
2018

Children with premature pubarche: is an alterated neonatal 17-Ohp screening test a predictive factor?

Italian journal of pediatrics
2018

Vaginal bleeding and a giant ovarian cyst in an infant with 21-hydroxylase deficiency.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2018

CYP21A2 mutation update: Comprehensive analysis of databases and published genetic variants.

Human mutation
2017

Prenatal Treatment with Dexamethasone in Suspected Congenital Adrenal Hyperplasia and Orofacial Cleft: a Case Report and Review of the Literature.

Pediatric endocrinology reviews : PER
2017

Intima 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 letters
2018

The prevalence of non-classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency in Russian women with hyperandrogenism.

Human fertility (Cambridge, England)
2017

Non-classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency revisited: an update with a special focus on adolescent and adult women.

Human reproduction update
2017

CYP21A2 intronic variants causing 21-hydroxylase deficiency.

Metabolism: clinical and experimental
2017

Psychological vulnerability to stress in carriers of congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

Hormones (Athens, Greece)
2017

Molecular diagnosis of Chinese patients with 21-hydroxylase deficiency and analysis of genotype-phenotype correlations.

The Journal of international medical research
2018

Clinical 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 zhi
2017

Clinical significance of 11-oxygenated androgens.

Current opinion in endocrinology, diabetes, and obesity
2017

Cardio-metabolic risk factors in youth with classical 21-hydroxylase deficiency.

European journal of pediatrics
2017

[Recommendations for the diagnosis and treatment of classic forms of 21-hydroxylase-deficient congenital adrenal hyperplasia].

Anales de pediatria (Barcelona, Spain : 2003)
2017

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
2016

[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 genetics
2017

Testicular Adrenal Rest Tumors in Boys and Young Adults with Congenital Adrenal Hyperplasia.

The Journal of urology
2017

The urinary steroidome of treated children with classic 21-hydroxylase deficiency.

The Journal of steroid biochemistry and molecular biology
2017

New developments in prenatal diagnosis of congenital adrenal hyperplasia.

The Journal of steroid biochemistry and molecular biology
2016

Unusual phenotype of congenital adrenal hyperplasia (CAH) with a novel mutation of the CYP21A2 gene.

Journal of pediatric endocrinology &amp; metabolism : JPEM

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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.

  1. 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.
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  2. A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.
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  3. 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.
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  4. The Importance of Disease-specific Growth Charts for Children with Congenital Adrenal Hyperplasia.
    The Journal of clinical endocrinology and metabolism· 2026· PMID 41052298mais citado
  5. Clinical and Biochemical Phenotype Across the Genotypic Spectrum of 21-hydroxylase Deficiency in 457 Individuals.
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  9. Wisdom of the Experts Versus Opinions of the Crowd in Hospital Quality Ratings: Analysis of Hospital Compare Star Ratings and Google Star Ratings.
    J Med Internet Res· 2022· PMID 35881418recente
  10. Alterations of Gut Bacteria in Hirschsprung Disease and Hirschsprung-Associated Enterocolitis.
    Microorganisms· 2021· PMID 34835367recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:90794(Orphanet)
  2. OMIM OMIM:201910(OMIM)
  3. MONDO:0008728(MONDO)
  4. Hiperplasia Adrenal Congenita(PCDT · Ministério da Saúde)
  5. GARD:12665(GARD (NIH))
  6. Variantes catalogadas(ClinVar)
  7. Busca completa no PubMed(PubMed)
  8. 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

Hiperplasia suprarrenal congênita clássica por deficiência de 21-hidroxilase
Compêndio · Raras BR

Hiperplasia suprarrenal congênita clássica por deficiência de 21-hidroxilase

ORPHA:90794 · MONDO:0008728
🇧🇷 Brasil SUS
Triagem
17-OH-Progesterona em sangue seco
PNTN
Fase 1 · Nacional
Incidência BR
1:15.000
Internações
890/ano
Prevalência BR
1:15000
Custo SUS
R$ 3.210/internação
Dados
DATASUS 2024
Geral
Prevalência
1-9 / 100 000
Herança
Autosomal recessive
CID-10
E25.0 · Transtornos adrenogenitais congênitos associados à deficiência enzimática
CID-11
Início
Adolescent, Adult, Antenatal, Childhood, Infancy, Neonatal
Prevalência
7.0 (Europe)
MedGen
UMLS
C4273964
Repurposing
3 candidatos
methylprednisolone-aceponateanti-inflammatory agent|glucocorticoid receptor agonist
prednisolone-sodium-phosphateglucocorticoid receptor agonist
prednisone
EuropePMC
Wikidata
DiscussaoAtiva

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