聂志娟1 洪世华2 *
1. 赣南医科大学;2. 赣南医科大学第一附属医院内分泌科
摘要(Abstract):
先天性肾上腺皮质增生症(Congenital Adrenal Hyperplasia,CAH)是由特定基因突变导致肾上腺皮质激素合成通路功能障碍的一种疾病。本文报告了一例伴有性早熟、身材矮小和不育的先天性肾上腺皮质增生症患者,并对患者的临床特征 和基因突变进行了讨论,以便为患者家庭提供遗传咨询。
关键词(KeyWords):
先天性肾上腺皮质增生症;21-羟化酶缺陷症;高血压
参考文献(References):
[1]Joo Y E ,Yoo J M ,Kim J S , et al. Case report: Develop⁃ ment of central precocious puberty in a girl with late-diagnosed simple virilizing congenital adrenal hyperplasia complicated with Williams syndrome [J]. Frontiers in Endocrinology,2024, 151352552-1352552.
[2]Peng T ,Jun Z ,Song P , et al. Genotype-phenotype corre⁃ lation in patients with 21-hydroxylase deficiency [J]. Frontiers in Endocrinology,2023,141095719-1095719. [3]Xin W ,Yanyun W ,Dingyuan M , et al. Neonatal Screen⁃ ing and Genotype-Phenotype Correlation of 21-Hydroxylase Defi⁃ ciency in the Chinese Population [J]. Frontiers in Genetics,2021, 11623125-623125.
[4]Tiantian C ,Jing L ,Wenwen S , et al. Congenital adrenal hyperplasia with homozygous and heterozygous mutations: a rare family case report[J]. BMC Endocrine Disorders,2022,22(1): 57-57.
[5]MERKE D P, AUCHUS R J. Congenital Adrenal Hyper⁃ plasia Due to 21-Hydroxylase Deficiency[J]. The New England Journal of Medicine,2020,383(13):1248-1261.
[6]Ruta N ,Kristina S ,Marius S , et al. Cardiometabolic Health in Adolescents and Young Adults with Congenital Adrenal Hyperplasia[J]. Medicina,2022,58(4):500-500. [7]Hee J K ,Sunkyu C ,Ah Y L , et al. Epidemiology and Long-Term Adverse Outcomes in Korean Patients with Congenital Adrenal Hyperplasia: A Nationwide Study.[J]. Endocrinology and metabolism (Seoul, Korea),2022,37(1):138-147.
[8]Beatrice R ,R S A ,Jillian B , et al. Long-term cardiomet⁃ abolic morbidity in young adults with classic 21-hydroxylase defi⁃ ciency congenital adrenal hyperplasia.[J]. Endocrine,2023,80 (3):630-638.
[9]Djuro M ,Vera Z ,Jelica B , et al. Metabolic Perspectives for Non-classical Congenital Adrenal Hyperplasia With Relation to the Classical Form of the Disease.[J]. Frontiers in endocrinology, 2019,10681.
[10]Yang M ,White C P . Genetics and Pathophysiology of Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.[J]. The Journal of clinical endocrinology and metabo⁃ lism,2025,110(Supplement_1):SS1-S12.
[11]TUSIE-LUNA M T, SPEISER P W, DUMIC M, et al. A mutation (Pro-30 to Leu) in CYP21 represents a potential non⁃ classic steroid 21-hydroxylase deficiency allele[J]. Molecular Endocrinology (Baltimore, Md.),1991,5(5):685-692.
[12]KURZYŃSKA A, SKALNIAK A, FRANSON K, et al. Molecular analysis and genotype-phenotype correlations in patients with classical congenital adrenal hyperplasia due to 21- hydroxylase deficiency from southern Poland - experience of a clin⁃ ical center[J]. Hormones (Athens, Greece),2022,21(2): 241-249.
[13]I M N ,Moolamannil A ,Brian G , et al. Genotypephenotype correlation in 1,507 families with congenital adrenal hyperplasia owing to 21-hydroxylase deficiency.[J]. Proceedings of the National Academy of Sciences of the United States of Amer⁃ ica,2013,110(7):2611-6.
[14]Joanna H ,Anna K ,Katarzyna C , et al. Characteristics of Congenital Adrenal Hyperplasia Diagnosed in Adulthood: A Lit⁃ erature Review and Case Series[J]. Journal of Clinical Medicine, 2023,12(2):653-653.