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DOI: 10.1590/S0004-27302003000500017
Diagnosis of the nonclassical form of 21-hydroxylase deficiency (NC-21OH) is based on clinical hyperandrogenism and basal 17-hydroxyprogesterone (17OHP) levels >5ng/mL or >10ng/mL after ACTH-stimulation. We present two children with precocious pubarche and a hormonal diagnosis of NC-21OH, whose molecular study of the CYP21A2 gene confirmed the diagnosis in just one case. After that, we re-evaluated the diagnosis of 58 patients with ACTH-stimulated 17OHP levels >10ng/mL with molecular studies of CYP21A2 gene. Only 37 (67%) of these patients had mutations detected […]
Keywords: 17-hydroxyprogesterone; 21-hydroxylase deficiency; CYP21A2 Gene; Nonclassical form; precocious puberty