Atypical presentation in patients with 17 ?-hydroxylase deficiency caused by a deletion in the CYP17A1 gene: short stature

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dc.authorid
dc.contributor.authorBolu, Semih
dc.contributor.authorEröz, Recep
dc.contributor.authorTekin, Mehmet
dc.contributor.authorDoğan, Mustafa
dc.date.accessioned2021-12-01T18:21:58Z
dc.date.available2021-12-01T18:21:58Z
dc.date.issued2020
dc.department[Belirlenecek]en_US
dc.description.abstractBackground. Patients with 17?-hydroxylase deficiency (17 OHD) usually present with tall stature and eunuchoid features, rather than growth retardation. However, unlike the classic form of the disease, short stature due to a lack of pubertal growth spurt and sex hormone deficiency was present in our four cases. We wanted to emphasize that short stature might be the cause of first presentation in patients with 17 OHD. Cases. We report five patients of Kurdish origin with 17 OHD, four of whom had short stature; two presented because of short stature and two were detected as having short stature. The external genitalia had a female appearance and was prepubertal in all cases. Hypertension was also detected in four of the patients. Serum biochemical and hormonal analyses were performed for each patient. Laboratory data suggesting severe growth hormone (GH) deficiency were obtained from one patient, while the other had a familial history suggesting constitutional delay of growth and puberty (CDGP). Whole exome sequence analysis of the CYP17A1 gene was performed on all patients. STR fragment analysis and multiplex ligation dependent probe amplification (MLPA) analysis was also performed to detect mutations associated with congenital adrenal hyperplasia (CAH) in the CYP17A1 gene. No mutation was detected in the whole exome sequence analysis of the CYP17A1 gene in all five patients, although wide deletions were identified in the 1st–6th exons of this gene at MLPA analysis. Conclusions. Patients with 17?-hydroxylase deficiency can present with short stature because they have no pubertal growth spurt during adolescence. Therefore, 17 OHD should be considered in the differential diagnosis of patients with delayed puberty and short stature.en_US
dc.identifier.doi10.24953/turkjped.2020.05.019
dc.identifier.endpage857en_US
dc.identifier.issn0041-4301
dc.identifier.issue5en_US
dc.identifier.pmid33108090en_US
dc.identifier.scopus2-s2.0-85094182824en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage851en_US
dc.identifier.urihttps://doi.org/10.24953/turkjped.2020.05.019
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TkRJeU5qazFOUT09
dc.identifier.urihttps://hdl.handle.net/20.500.12684/9347
dc.identifier.volume62en_US
dc.identifier.wosWOS:000582494600018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.relation.ispartofTurkish Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keywords]en_US
dc.titleAtypical presentation in patients with 17 ?-hydroxylase deficiency caused by a deletion in the CYP17A1 gene: short statureen_US
dc.typeArticleen_US

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