Artículos de revistas
Six New Cases Confirm The Clinical Molecular Profile Of Complete Combined 17α-hydroxylase/ 17,20-lyase Deficiency In Brazil [seis Novos Casos Confirmam O Perfil Clínico Molecular De Deficiência Combinada De 17 Alfa-hidroxilase/17,20-liase No Brasil]
Registro en:
Arquivos Brasileiros De Endocrinologia E Metabologia. , v. 54, n. 8, p. 711 - 716, 2010.
42730
10.1590/S0004-27302010000800008
2-s2.0-79952001269
Autor
Belgini D.R.B.
de Mello M.P.
Baptista M.T.M.
de Oliveira D.M.
Denardi F.C.
Garmes H.M.
da Rocha Grassiotto O.
Pinto C.L.B.
Marques-de-Faria A.P.
Maciel-Guerra A.T.
Guerra-Junior G.
Institución
Resumen
In 2004, Costa-Santos and cols. reported 24 patients from 19 Brazilian families with 17α-hydroxylase deficiency and showed that p.W406R and p.R362C corresponded to 50% and 32% of CYP17A1 mutant alleles, respectively. The present report describes clinical and molecular data of six patients from three inbred Brazilian families with 17α-hydroxlyse deficiency. All patients had hypogonadism, amenorrhea and hypertension at diagnosis. Two sisters were found to be 46,XY with both gonads palpable in the inguinal region. All patients presented hypergonadotrophic hypogonadism, with high levels of ACTH (> 104 ng/mL), suppressed plasmatic renin activity, low levels of potassium (< 2.8 mEq/L) and elevated progesterone levels (> 4.4 ng/mL). Three of them, including two sisters, were homozygous for p.W406R mutation and the other three (two sisters and one cousin) were homozygous for p.R362C. 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