Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1972 Feb;47(251):62–65. doi: 10.1136/adc.47.251.62

Diagnosis of Congenital Adrenal Hyperplasia by Measurement of Plasma 17-Hydroxyprogesterone

N D Barnes, Shelia M Atherden
PMCID: PMC1647987  PMID: 4336233

Abstract

Measurement of plasma 17-hydroxyprogesterone by a simple competitive protein-binding assay has proved of value in the diagnosis of congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Children with untreated adrenal hyperplasia had high resting levels from as early as the 6th day of life, and children treated with suppressive doses of cortisone showed a rise after adrenal stimulation with tetracosactrin. The method also promises to enhance the ease and precision with which the condition can be managed.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clayton B. E. Diagnosis and management of congenital adrenal hyperplasia. Proc R Soc Med. 1970 Oct;63(10):1042–1044. [PMC free article] [PubMed] [Google Scholar]
  2. Clayton B. E., Edwards R. W., Makin H. L. Congenital adrenal hyperplasia and other conditions associated with a raised urinary steroid 11-oxygenation index. J Endocrinol. 1971 Jun;50(2):251–265. doi: 10.1677/joe.0.0500251. [DOI] [PubMed] [Google Scholar]
  3. EDWARDS R. W., MAKIN H. L., BARRATT T. M. THE STEROID 11-OXYGENATION INDEX; A RAPID METHOD FOR USE IN THE DIAGNOSIS OF CONGENITAL ADRENAL HYPERPLASIA. J Endocrinol. 1964 Sep;30:181–194. doi: 10.1677/joe.0.0300181. [DOI] [PubMed] [Google Scholar]
  4. Murphy B. E. Some studies of the protein-binding of steroids and their application to the routine micro and ultramicro measurement of various steroids in body fluids by competitive protein-binding radioassay. J Clin Endocrinol Metab. 1967 Jul;27(7):973–990. doi: 10.1210/jcem-27-7-973. [DOI] [PubMed] [Google Scholar]
  5. NORYMBERSKI J. K., STUBBS R. D., WEST H. F. Assessment of adrenocortical activity by assay of 17-ketogenic steroids in urine. Lancet. 1953 Jun 27;1(6774):1276–1281. doi: 10.1016/s0140-6736(53)92414-3. [DOI] [PubMed] [Google Scholar]
  6. New M. I. Congenital adrenal hyperplasia. Pediatr Clin North Am. 1968 May;15(2):395–407. doi: 10.1016/s0031-3955(16)32130-7. [DOI] [PubMed] [Google Scholar]
  7. Strott C. A., Lipsett M. B. Measurement of 17-hydroxyprogesterone in human plasma. J Clin Endocrinol Metab. 1968 Oct;28(10):1426–1430. doi: 10.1210/jcem-28-10-1426. [DOI] [PubMed] [Google Scholar]
  8. Strott C. A., Yoshimi T., Lipsett M. B. Plasma progesterone and 17-hydroxyprogesterone in normal men and children with congenital adrenal hyperplasia. J Clin Invest. 1969 May;48(5):930–939. doi: 10.1172/JCI106052. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES