17-Hydroxylation deficiency in man
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The initial description of 17α-hydroxylase deficiency was a case in which both 17α-hydroxylase and 17,20-lyase products were absent.
“The initial description of 17␣-hydroxylase deficiency was a case in which both 17␣-hydroxylase and 17,20lyase products were absent (261).”
From The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders (2011) · cites this paper as [261]
The Results report that no C-21 steroids derived from 17α-OH-progesterone were detected, supporting the absence of 17α-hydroxylase products in the reported case. But the Results and Discussion (indexed under “Miscellaneous measurements”; page unavailable) report low, measurable C-19 steroids, including testosterone and androstenedione, rather than an absence of 17,20-lyase products. (LLM, conf=0.87)
Experimental — accuracy not yet measuredAffected females with complete P450c17 deficiency are phenotypically normal but fail to undergo adrenarche and puberty.
“As a result, affected females are phenotypically normal but fail to undergo adrenarche and puberty (261),”
From The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders (2011) · cites this paper as [261]
The Case report (page unavailable) says the patient had not menstruated or developed secondary sex characteristics, and the examination reports absent axillary and pubic hair. These findings support failure of puberty and adrenarche. The paper describes a marked deficiency in one patient, however, and does not establish that females with complete deficiency are phenotypically normal. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe classical presentation of 17α-hydroxylase deficiency is a teenage female with sexual infantilism and hypertension.
“The classical presentation is that of a teenage female with sexual infantilism and hypertension (261,264).”
From The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders (2011) · cites this paper as [261]
The Case report (page unavailable) describes a female patient who lacked menses and secondary sex characteristics at 17, and the clinical history records hypertension during her school years. But the paper reports one patient examined at 35; it does not establish that a teenage female is the classical presentation of the condition. (LLM, conf=0.86)
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- Authors
- Biglieri, E. G., Herron, M. A., & Brust, N.
- Affiliations
- San Francisco General Hospital (US)
- Venue
- Journal of Clinical Investigation
- Published
- 1966-12-01
- Volume
- 45
- Issue
- 12
- Pages
- 1946-1954
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC292880
- OpenAlex
- W2025408018
- Semantic Scholar
- 4321404e8c055df66091f50f82aa9945d6208f8d
- Cited by
- 561
- References
- 38
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 16 · 2022: 14 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 5 · 2017: 12 · 2016: 7 · 2015: 15 · 2014: 13 · 2013: 14 · 2012: 10
- FWCI
- 6.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Cisco Systems
- National Institutes of Health
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Keywords
- congenital adrenal hyperplasia, steroidogenesis, adrenal cortex, 17-hydroxyprogesterone
- MeSH terms
- Adrenal Glands, Adrenocorticotropic Hormone, Adult, Corticosterone, Desoxycorticosterone, Diet, Sodium-Restricted, Female, Humans, Mixed Function Oxygenases, Hydroxyprogesterones, Metabolism, Inborn Errors, Metyrapone, Natriuresis, Potassium, Progesterone
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