Nonclassic Congenital Lipoid Adrenal Hyperplasia: A New Disorder of the Steroidogenic Acute Regulatory Protein with Very Late Presentation and Normal Male Genitalia
Author(s) -
Bo Y. Baker,
Lin Lin,
Chan Jong Kim,
Jamal Raza,
Claire Smith,
Walter L. Miller,
John C. Achermann
Publication year - 2006
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2006-1565
Subject(s) - steroidogenic acute regulatory protein , endocrinology , medicine , congenital adrenal hyperplasia , mineralocorticoid , context (archaeology) , androgen excess , steroidogenic factor 1 , aldosterone , cholesterol side chain cleavage enzyme , adrenal insufficiency , androgen , biology , disorders of sex development , hormone , obesity , genetics , insulin resistance , gene , paleontology , polycystic ovary , cytochrome p450 , nuclear receptor , metabolism , messenger rna , transcription factor
Lipoid congenital adrenal hyperplasia is a severe disorder of adrenal and gonadal steroidogenesis caused by mutations in the steroidogenic acute regulatory protein (StAR). Affected children typically present with life-threatening adrenal insufficiency in early infancy due to a failure of glucocorticoid (cortisol) and mineralocorticoid (aldosterone) biosynthesis, and 46,XY genetic males have complete lack of androgenization and appear phenotypically female due to impaired testicular androgen secretion in utero.
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