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The classical case of the treatment of an adult patient with the salt-losing form of congenital adrenal cortical dysfunction

https://doi.org/10.14341/probl201157425-27

Abstract

This case report illustrates peculiarities of the clinical course of congenital adrenal cortical dysfunction in adult patients presenting with the salt-losing form of the disease. Analysis of this case confirmed the necessity of dynamic observation of adults with this pathology in order to avoid complications that are likely to develop in case of inadequate treatment.

References

1. Merke D.P., Cutler G.B. New ideas for medical treatment of congenital adrenal hyperplasia. Endocrinol Metab Clin North Am 2001; 30: 121-135.

2. Merke D.P., Bornstein S.R., Avila N.A., Chrousos G.P. NIH conference. Future directions in the study and management of congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Ann Intern Med 2002; 136: 320-334.

3. Speiser P.W., White P.C. Congenital adrenal hyperplasia. N Engl J Med 2003; 349: 776-788.

4. White P.C., Speiser P.W. Congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Endocr Rev 2000; 21: 245-291.

5. Merke D.P., Bornstein S.R. Congenital adrenal hyperplasia. Lancet 2005; 365: 2125-2136.

6. Bachelot A., Chakthoura Z., Rouxel A. et al. Classical Forms of Congenital Adrenal Hyperplasia due to 21-Hydroxilase Deficiency in Adults. Horm Res 2008; 69: 203-211.

7. Bode H.H., Cowley D.M. et al. Home monitoring of 17-OHP levels in congenital adrenal hyperplasia. Journal of Pediatrics 1999; 134: 185-189.

8. Rosler A. The natural history of salt-wasting disorders of adrenal and renal origin. J Clin Endocrinol Metab 1984; 59: 689-700.

9. Merke D.P. Approach to the Adult with Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency. J Clin Endocrinol Metab 2008; 93: 3: 653-660.

10. Speiser P.W., Azziz R., Baskin L.S. et al. A Summary of the Endocrine Society Clinical Practice Guidelines on Congenital Adrenal Hyperplasia due to Steroid 21-Hydroxylase Deficiency. Int J Pediatr Endocrinol 2010; 30.

11. Newell-Price J., Whiteman M., Rostami-Hodjegan A. et al. Modified-release hydrocortisone for circadian therapy: a proof-of-principle study in dexamethasone-suppressed normal volunteers. Clin Endocrinol (Oxf) 2008; 68: 130-135.

12. Charmandari E., Matthews D.R., Johnston A. et al. Serum cortisol and 17-hydroxyprogesterone interrelation in classic 21-hydroxylase deficiency: is current replacement therapy satisfactory? J Clin Endocrinol Metab 2001; 86: 4679-4685.

13. Rosenfield R.L. Serum cortisol and 17-hydroxyprogesterone concentrations in children with classic congenital adrenal hyperplasia. J Clin Endocrinol Metab 2002; 87: 2993.

14. Bachelot A., Chakhtoura Z., Samara-Boustani D. et al. Bone health should be an important concern in the care of patients affected by 21 hydroxylase deficiency. Int J Pediatr Endocrinol 2010; 10: 326-275.


Review

For citations:


Sazonova A.I., Molashenko N.V., Iarovaia I.S., Kalinchenko N.I., Troshina E.A. The classical case of the treatment of an adult patient with the salt-losing form of congenital adrenal cortical dysfunction. Problems of Endocrinology. 2011;57(4):25-27. https://doi.org/10.14341/probl201157425-27

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