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New mutation in the CYP17 gene: description of a case

https://doi.org/10.14341/probl200652641-45

Abstract

Deficiency of 17α-hydroxylase is a rare variant of congenital adrenal cortical dysfunction. The defect was first described by E. Biglieri et al. in 1966 in patients with sexual infantilism, pronounced excess mineralocorticoids with salt retention and arterial hypertension.


Currently, several variants of the nonclassical course of the disease are described (with an increased level of aldosterone and without the development of hypertension and hypokalemia), the pathophysiological mechanism of which could not be explained. Cases of isolated deficiency of 17,20-lyase activity associated with mutations of R347H and R358Q in the CYP17 gene are also described.


Here is the observation of a patient with a new mutation in the CYP17 gene with 17α-hydroxylase/17,20-lyase deficiency.

About the Authors

L. K. Dzeranova

Endocrinology Research Centre


Russian Federation


A. N. Tyulpakov

Endocrinology Research Centre


Russian Federation


Ye. A. Pigarova

Endocrinology Research Centre


Russian Federation


P. M. Rubtsov

Engelhardt Institute of Molecular Biology of the Russian Academy of Sciences


Russian Federation


A. M. Artemova

Endocrinology Research Centre


Russian Federation


A. V. Vorontsov

Endocrinology Research Centre


Russian Federation


I. S. Yarovaya

Endocrinology Research Centre


Russian Federation


L. Ya. Rozhinskaya

Endocrinology Research Centre


Russian Federation


I. I. Dedov

Endocrinology Research Centre


Russian Federation


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Review

For citations:


Dzeranova L.K., Tyulpakov A.N., Pigarova Ye.A., Rubtsov P.M., Artemova A.M., Vorontsov A.V., Yarovaya I.S., Rozhinskaya L.Ya., Dedov I.I. New mutation in the CYP17 gene: description of a case. Problems of Endocrinology. 2006;52(6):41-45. (In Russ.) https://doi.org/10.14341/probl200652641-45

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ISSN 0375-9660 (Print)
ISSN 2308-1430 (Online)