8 results
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms
 • Brain: Androgenization effects, Glucocorticoid effects,
Hyperplasia - 21-Hydroxylase ... Reproductive: Gonadal hypofunction ... #Hyperplasia #Hydroxylase
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Pseudoephedrine • Primary ... Renovascular • Primary ... Syndrome, 11B hydroxylase ... def, 17alpha hydroxylase
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
21-Hydroxylase Deficiency ... #21HydroxylaseDeficiency #21OHD
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Primary Adrenal ... Autoimmune: + 21-Hydroxylase ... hypothyroidism - Primary ... ACTH - + 21-hydroxylase ... IF < 18 ug/dL Primary
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm
No onset of menarche by age 16 with secondary
Causes of Primary ... deficiency • 17- a Hydroxylase ... Hypothyroidism #Primary
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
> 20 meq/L • Primary ... hyperplasia: 11-ß hydroxylase ... deficiency, 17-a hydroxylase
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal ... autoimmune-mediated primary ... ordered is the 21-hydroxylase
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Vaginal dryness • Primary ... eyes • Salivary hypofunction ... ab (specific in primary ... Autoimmune hepatitis, primary