" /> Adrenal insufficiency, congenital, with 46,xy sex reversal, partial or complete - CISMeF





Preferred Label : Adrenal insufficiency, congenital, with 46,xy sex reversal, partial or complete;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : P450scc deficiency;

Description : P450scc deficiency is a rare disorder that can present as acute adrenal insufficiency in infancy or childhood. ACTH and plasma renin activity are grossly elevated and adrenal steroids are inappropriately low or absent; the 46,XY patients have female external genitalia, sometimes with clitoromegaly. The phenotypic spectrum ranges from prematurity, complete underandrogenization, and severe early-onset adrenal failure to term birth with clitoromegaly and later-onset adrenal failure (summary by Kim et al., 2008). Although hormonal and phenotypic features can resemble those of congenital lipoid adrenal hyperplasia (lipoid CAH; 201710), no patient with P450scc deficiency has been described with the massive adrenal enlargement typical of lipoid CAH (summary by Sahakitrungruang et al., 2011).;

Prefixed ID : #613743;

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03/05/2025


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