3 Cases of Congenital Adrenal Hyperplasia. |
Kyo Sun Kim, Dong Soo Kim, Seoung Ku Kim, Kwang Ho Kim, Duk Hi Kim, Duk Jin Yun |
Department of pediatrics, Yonsei university college of medicine, Seoul, Korea. |
선천성 부신피질 비후증 3 예 |
김교순, 김동수, 김성구, 김광호, 김덕희, 윤덕진 |
연세대학교 의과대학 소아과학교실 |
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Abstract |
We present 3 cases of congenital hyperplasia. Case lis a 5 year and 9 month old who is suffered from excessive salt craving and symptoms of precocious puberty. Case llis a 2 month old boy who has failure to thrive and frequent episode of dehydration. Case lll is a 5 year and 3 month old girl who has enlarged clitoris without salt craving since birth. All 3 cases have higher level of 17KS than normal but normal blood pressure. Serum 17 OH progesterone or urinary pregnanetriol were not checked. All patients were well responding with corticosteroid and 17 KS in 24 hour urine were decreased to normal. These patients are considered to have 21 hydroxylation defect type in congenital adrenal hyperplasia. Review of literature and references on congenital adrenal hyperplasia was attempted priefly. |
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