17 Αlfa Hidroksilaz/17,20 Liyaz Eksikliği olan Hastada Anestezi Yönetimi

Konjenital adrenal hiperplazi (KAH), adrenal kortekste kortizol ve seks steroidlerin biyosentezinde yer alan enzimlerden herhangi birinin kalıtsal kusurundan kaynaklanan otozomal resesif bozukluktur. En sık 21-hidroksilaz eksikliği görülmesine rağmen 17 ?-hidroksilaz/17,20 liyaz eksikliği en az görülen tipidir (

Anesthesia Management in a Patient with 17 Αlpha Hydroxylase/17,20 Lyase Deficiency

Congenital adrenal hyperplasia (CAH) is a an autosomal recessive disorder resulting from a defect in any of several enzymes involved in biosenthesis of cortisol and sex steroids in adrenal cortex. 21-hydroxylase deficiency (90-95%) is the most common form and 17 α-hydroxylase / 17,20 lyase deficiency is the least common (

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  • 1. Auchus RJ. The genetics, pathophysiology, and management of human deficiencies of P450c17. Endocrinol Metab Clin North Am 2001;30:101-19.
  • 2. Miller WL. Androgen synthesis in adrenarche. Rev Endocr Metab Disord 2009;10:3-17.
  • 3. Friedrich O, Reid MB, Van den Berghe G, Vanhorebeek I, Hermans G, Rich MM, et al. The Sick and the Weak: Neuropathies/Myopathies in the Critically Ill. Physiol Rev. 2015;95:1025-109.
  • 4. Kanda F, Okuda S, Matsushita T, Takatani K, Kimura KI, Chihara K. Steroid myopathy: pathogenesis and effects of growth hormone and insulin-like growth factor-I administration. Horm Res 2001;56 Suppl1:24-8.
  • 5. Biglieri EG, Herron MA, Brust N. 17-hydroxylation deficiency in man. J Clin Invest 1966; 45: 1946–1954.
  • 6. Kim SM, Rhee JH. A case of 17 alpha-hydroxylase deficiency, Clin Exp Reprod Med 2015 Jun;42:72-6.
  • 7. Xu S, Hu S, Yu X, Zhang M, Yang Y. 17α-hydroxylase/17,20-lyase deficiency in congenital adrenal hyperplasia: A case report. Mol Med Rep 2017;15:339-344.
  • 8. Wakim JH, Sledge KC. Anesthetic implications for patients receiving exogenous corticosteroids. AANA J 2006;74:133-9.
  • 9. Shaikh S, Verma H, Yadav N, Jauhari M, Bullangowda J. Applications of Steroid in Clinical Practice: A Review. International Scholarly Research Network ISRN Anesthesiology Volume 2012, Article ID 985495, 11 pages doi:10.5402/2012/985495.
Gazi Medical Journal-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: Gazi Üniversitesi Tıp Fakültesi
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