Document Detail


Prenatal treatment of congenital adrenal hyperplasia resulting from 21-hydroxylase deficiency.
MedLine Citation:
PMID:  6334149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an attempt to prevent in utero virilization of female fetuses with 21-hydroxylase deficiency, six mothers at risk were treated with either hydrocortisone (n = 1) or dexamethasone (n = 5) in early pregnancy. Treatment was continued to term in the two pregnancies in which the diagnosis of an affected female fetus was confirmed. In patient 1 (hydrocortisone treatment) fetal adrenal suppression was only partial but the external genitalia were only slightly abnormal. In patient 2 (dexamethasone treatment) fetal adrenal suppression was achieved and the external genitalia were normal at birth. These encouraging results open a new prospect for treating congenital adrenal hyperplasia in utero.
Authors:
M David; M G Forest
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  105     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1984 Nov 
Date Detail:
Created Date:  1984-12-27     Completed Date:  1984-12-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  799-803     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
17-alpha-Hydroxyprogesterone
Adrenal Hyperplasia, Congenital* / drug therapy*
Adult
Amniotic Fluid / analysis
Dexamethasone / therapeutic use
Female
Humans
Hydrocortisone / therapeutic use
Hydroxyprogesterones / blood
Infant, Newborn
Pregnancy
Prenatal Care*
Steroid Hydroxylases / deficiency*
Chemical
Reg. No./Substance:
0/Hydroxyprogesterones; 50-02-2/Dexamethasone; 50-23-7/Hydrocortisone; 68-96-2/17-alpha-Hydroxyprogesterone; EC 1.14.-/Steroid Hydroxylases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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