Abstract
Plasma 17-hydroxyprogesterone (17-OHP) levels in 4 patients with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency were greatly raised and showed a marked circadian variation, with high morning levels and much lower values during the late evening. This finding indicates that patients with CAH may require relatively little adrenal suppression during the late evening and early hours of sleep, and suggests that the main suppressive dose of steroid should be reserved for the period between 3.00 a.m. and 3.00 p.m.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barnes N. D., Atherden S. M. Diagnosis of congenital adrenal hyperplasia by measurement of plasma 17-hydroxyprogesterone. Arch Dis Child. 1972 Feb;47(251):62–65. doi: 10.1136/adc.47.251.62. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Besser G. M., Cullen D. R., Irvine W. J., Ratcliffe J. G., Landon J. Immunoreactive corticotrophin levels in adrenocortical insufficiency. Br Med J. 1971 Feb 13;1(5745):374–376. doi: 10.1136/bmj.1.5745.374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GRABER A. L., GIVENS J. R., NICHOLSON W. E., ISLAND D. P., LIDDLE G. W. PERSISTENCE OF DIURNAL RHYTHMICITY IN PLASMA ACTH CONCENTRATIONS IN CORTISOL-DEFICIENT PATIENTS. J Clin Endocrinol Metab. 1965 Jun;25:804–807. doi: 10.1210/jcem-25-6-804. [DOI] [PubMed] [Google Scholar]
- Hamilton W., Moodie T. The treatment of congenital adrenal hyperplasia with aminoglutethimide. Dev Med Child Neurol. 1970 Oct;12(5):618–628. doi: 10.1111/j.1469-8749.1970.tb01971.x. [DOI] [PubMed] [Google Scholar]
- Hayek A., Crawford J. D., Bode H. H. Single dose dexamethasone in treatment of congenital adrenocortical hyperplasia. Metabolism. 1971 Sep;20(9):897–901. doi: 10.1016/0026-0495(71)90052-7. [DOI] [PubMed] [Google Scholar]
- Jubiz W., Matsukura S., Meikle A. W., Harada G., West C. D., Tyler F. H. Plasma metyrapone, adrenocorticotropic hormone, cortisol, and deoxycortisol levels. Sequential changes during oral and intravenous metyrapone administration. Arch Intern Med. 1970 Mar;125(3):468–471. [PubMed] [Google Scholar]
- 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]
- NICHOLS T., NUGENT C. A., TYLER F. H. DIURNAL VARIATION IN SUPPRESSION OF ADRENAL FUNCTION BY GLUCOCORTICOIDS. J Clin Endocrinol Metab. 1965 Mar;25:343–349. doi: 10.1210/jcem-25-3-343. [DOI] [PubMed] [Google Scholar]
- Simpoulos A. P., Marshall J. R., Delea C. S., Bartter F. C. Studies on the deficiency of 21-hydroxylation in patients with congenital adrenal hyperplasia. J Clin Endocrinol Metab. 1971 Mar;32(3):438–443. doi: 10.1210/jcem-32-3-438. [DOI] [PubMed] [Google Scholar]
- Soyka L. F. Treatment of the nephrotic syndrome in childhood. Use of an alternate-day prednisone regimen. Am J Dis Child. 1967 Jun;113(6):693–701. doi: 10.1001/archpedi.1967.02090210107011. [DOI] [PubMed] [Google Scholar]
- 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]