mytime
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A 4 year old 46,XY male presents with hyperpigmentation, clitoromegaly, no labial fusion and blind vaginal pouch. Further examination reveals hypoplastic male genital ducts but no Mullerian development. CT scan shows,large,lipid-laden adrenals causing downward displacement of the kidneys. Lab findings show low levels of all C21, C17, C18 steroids in the plasma and urine, and absent response to ACTH and hCG stimulation.What deficiency does the patient have
a) 21-alpha hydroxylase
b) Aromatase
c) 11 beta hydroxylase
d) Steroidgenic acute regulatory protein
e) 17-alpha hydroxylase
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| doc179
Forum Guru
Topics: 67
Posts: 1,217
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D lipoid congenital adrenal hyperplasia.
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| hanwin
Forum Senior
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D
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| new_n_lost
Forum Hero
Topics: 663
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this one i dont know u will have to explain it to me man am i groggy
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| GoodGirl
Forum Guru
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Only after doing research on Steroidgenic acute regulatory protein , I'm answering D.
Is it a lipoid congenital adrenal hyperplasia ?
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| po
Forum Elite
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ACTH stimulation understood,whats hCG stimulation?
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| lq2006
Forum Elite
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Posts: 382
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D
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