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[Congenital adrenal hyperplasia due to 21-hydroxylase deficiency: final height in 27 patients with the classical form].
- Source :
-
Arquivos brasileiros de endocrinologia e metabologia [Arq Bras Endocrinol Metabol] 2005 Dec; Vol. 49 (6), pp. 902-7. Date of Electronic Publication: 2006 Mar 16. - Publication Year :
- 2005
-
Abstract
- Objective: To determine final height (FH) in congenital adrenal hyperplasia (CAH) patients and investigate conditions allowing better height outcome.<br />Methodology: 13 salt-wasting (SW) and 14 simple virilizing (SV) patients were studied. FH and target height (TH) were transformed into standard deviation score (z). Data were analyzed according to sex, clinical form, age at treatment onset and length of treatment before attaining FH.<br />Results: zFH (n = 27) was -1.57 +/- 1.01. FH (-1.50 +/- 1.03) was below TH (-0.78 +/- 0.84) (n = 25, p < 0.001). FH has not differed according to sex, clinical form and age at therapy onset although there was a trend towards better FH in SW patients and in early treated cases; there was significant difference (p = 0.018) between patients treated for less than 5 years (-2.49 +/- 1.03) and those accompanied longer than 10 years (-1.21 +/- 0.88) before attaining FH.<br />Conclusions: There was a FH impairment and adult height improvement seems to depend mainly on early diagnosis and treatment.
- Subjects :
- Adolescent
Adrenal Hyperplasia, Congenital drug therapy
Analysis of Variance
Body Height drug effects
Child
Child, Preschool
Female
Follow-Up Studies
Glucocorticoids therapeutic use
Humans
Infant
Infant, Newborn
Male
Mineralocorticoids therapeutic use
Prognosis
Statistics, Nonparametric
Steroid 21-Hydroxylase drug effects
Time Factors
Treatment Outcome
Adrenal Hyperplasia, Congenital physiopathology
Body Height physiology
Steroid 21-Hydroxylase physiology
Subjects
Details
- Language :
- Portuguese
- ISSN :
- 0004-2730
- Volume :
- 49
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Arquivos brasileiros de endocrinologia e metabologia
- Publication Type :
- Academic Journal
- Accession number :
- 16544012
- Full Text :
- https://doi.org/10.1590/s0004-27302005000600008