Table 2.
Laboratory Findings | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pt ID | Origin | Maternal virilization | Age at Manifestation/Follow-up | Genital Phenotype | Pubertal Development (Tanner stage) | Ovarian Phenotype | T, nmol/L | DHEAS, µmol/L | 4A, nmol/L | 17OHP, nmol/L | Cortisol, nmol/L | E2, pmol/L | LH, IU/L | FSH, IU/L |
1 | African | Yes | Birth | Prader IV | NA | NK | 3.41 | 55.9 | ||||||
10 d | 2.03 | 1.34 | 4.85 | 11.92 | 504 | |||||||||
1 mo | 0.19 | 0.35 | 0.8 | 3.85 | 305 | < 18 | ||||||||
4 mo (minipuberty) | 0.38 | 1.04 | ||||||||||||
2 | Indian | No | Birth | Atypical genitalia | NA | |||||||||
3 y | Prader IV | NA | See Figure 3. | < 0.45 | 5 | 745a | NM | < 1 | 12 | |||||
3 | Indian | Maybe | 14 y | Clitoromegaly | B3/P4/A3 | Polycystic ovaries, ovarian torsion | 2.06 | 1.93 | 2.03 | 648a | 58.7 | 39.9 | 10.98 | |
4 | Indian | Yes | 14 y | Clitoromegaly | B3/P4/A3 | Polycystic ovaries | 2.6 | 3.58 | 1.38 | 634a | < 18 | 32 | 37 |
Laboratory values outside the normative range are shown in bold.
Abbreviations: 4A, androstenedione; 17OHP, 17α-hydroxyprogesterone; DHEAS, dehydroepiandrosterone-sulfate; E2, estradiol; FSH, follicle-stimulating hormone; LH, luteinizing hormone; NA, not applicable; NK, not known; NM, not measurable; Pt, patient; T, testosterone.
aAdrenocorticotropin-stimulated 60-minute values.