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;
Origin ID : 613743;
UMLS CUI : C3151055;
Automatic exact mappings (from CISMeF team)
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)