Adrenal

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Adrenal

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6 Posts

star1
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Topics: 93
Posts: 827

02/12/06 - 10:44 PM

A CHILD WAS BROUTH TO HOSP WITH FASTING HYPOGLYCEMIC ATTACK....HE HAS GENERALIZED HYPERPIGMENTATION........ELECTROLYTE AND ABG SHOWED A PIC OF HYPOKALEMIC ALKALOSIS...AFTER FURTHUR INVESTIGATION HE WAS CONFIRMED TO HAVE A ADRENAL ENZYME DEFICIENCY....WITH THE LIMITED INFORMATION PROVIDED WHAT IS THE LEAST LIKELY CAUSE? 1--21BETA (OH) DEFICIENCY 2--11 BETA OH DEFICIENXY 3--17ALPHA OH DEFICIENCY 4...17 20 LYASE DEFICIENCY

guangyu
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Topics: 29
Posts: 308

02/17/06 - 09:28 PM

drk1980
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Topics: 147
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02/18/06 - 09:01 AM

i think ths was already discussed...the ans they concluded was 17alpha OH deficiency....

docarchana
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Topics: 70
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09/05/06 - 08:52 AM

i think its 11beta OH def due to presence of hypokalemia.

Leopard
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Topics: 30
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09/05/06 - 09:52 AM

The correct answer is 4 ,17- 20 deficiency is the least likely cause because in this condition cortisole is normal ,so no excess of ACTH which is causing hyperpigmentation in this case.

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docarchana
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Topics: 70
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09/05/06 - 09:55 AM

woh.. least likely, i dint see it. then 21beta OH def can be the ans there is decreased MC activity which is causing hypokalemia..

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