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Primary Adrenal Insufficiency, Complete Sex Reversal, and Unique Clinical Phenotype in a Patient with Severe CYP11A1 (P450scc) Deficiency—Case Report and Literature Overview

Bibliographic Data

ID15714468
AuthorsZuzanna Nowak (0000-0002-5907-9943, Jagiellonian University), Ewelina Preizner-Rzucidło (Jagiellonian University), Jakub Gawlik (University Hospital, 30-688 Krakow, Poland), Jerzy Starzyk (0000-0002-4086-6525, Jagiellonian University), Jerzy B Starzyk (Department of Pediatric and Adolescent Endocrinology, Institute of Pediatrics, Jagiellonian University Medical College, 30-663 Krakow, Poland), Dominika Januś (0000-0002-3870-368X, Jagiellonian University, corresponding author)
Year2024
Volume11
Issue10
Pages1231-1231
Publication date2024-10-12
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children11101231
PMID39457196
OpenAlexW4403401686
LanguageEN
References cited36

CYP11A1 (P450scc) deficiency is a rare and complex disorder that leads to primary adrenal insufficiency and may present with 46, XY disorders of sex development (DSD), phenotypic variations, and associated endocrinological abnormalities. This case, along with others cited, highlights the diverse presentations of DSD in individuals with pathogenic CYP11A1 variants. Optimal management necessitates a multidisciplinary approach by a specialized DSD team. Gonadectomy is a key consideration to decrease the teratogenic risk associated with intra-abdominal gonadal tissue

Adrenal insufficiency · Biology · Cholesterol side-chain cleavage enzyme · Gene · Phenotype · Primary Adrenal Insufficiency · Hormonal and reproductive studies · Hormonal Regulation and Hypertension · Medicine · Sexual Differentiation and Disorders · Genetics · Internal Medicine

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