Genetic and Rare Diseases Information Center (GARD)


Other names people use for this condition
  • 21-OHD CAH
  • Congenital adrenal hyperplasia type 1
  • CAH 1
  • CYP21 deficiency
  • 21 hydroxylase deficiency
  • 21 alpha hydroxylase deficiency

21-hydroxylase-deficient congenital adrenal hyperplasia
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21-hydroxylase-deficient congenital adrenal hyperplasia is a genetic disorder of cortisol biosynthesis. It is caused by mutations in the human 21-hydroxylase gene (CYP21A2).[1] Symptoms of 21-hydroxylase deficiency vary, but can involve salt-wasting crises in infants; ambiguous genitalia in female infants; excessive hair, deep voice, abnormal periods, no periods, and fertility problems in older girls and women; early development of masculine features in boys; and shorter than average adult height, acne, and blood pressure problems in both males and females.[2]

References
  1. Stewart PM. The adrenal cortex. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Kronenberg: Williams Textbook of Endocrinology. 11th ed. Philadelphia, PA: Saunders; 2008.
  2. Congenital Adrenal Hyperplasia: What It Is and How It's Treated. American Academy of Family Physicians. 2006 Available at: http://familydoctor.org/online/famdocen/home/children/parents/special/birth/362.printerview.html. Accessed April 4, 2008.

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