Free Cortisol and Free 21-Deoxycortisol in the Clinical Evaluation of Congenital Adrenal Hyperplasia

Free cortisol concentrations in patients with classic CAH were similar to those in controls and patients with NCCAH, indicating comparable cortisol availability. Additionally, patients with 21OHD produce high concentrations of 21DF, possibly explaining the low occurrence of symptoms in some patients with classic 21OHD. Free cortisol and 21DF levels should be considered in evaluating adrenal insufficiency in patients with CAH.

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Publication Details

Journal
The Journal of Clinical Endocrinology & Metabolism
Published
2024-08-25
DOI
https://doi.org/10.1210/clinem/dgae591
Citations
5
Primary Topic
Sexual Differentiation and Disorders
Type
article
Field-Weighted Citation Impact
1.17
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article

Free Cortisol and Free 21-Deoxycortisol in the Clinical Evaluation of Congenital Adrenal Hyperplasia

Bas P H Adriaansen, Antonius Eduard van Herwaarden, André J. Olthaar, Karijn J. Pijnenburg-Kleizen et al.
5 citations
The Journal of Clinical Endocrinology & Metabolism
Sexual Differentiation and Disorders
1.17
article

Free Cortisol and Free 21-Deoxycortisol in the Clinical Evaluation of Congenital Adrenal Hyperplasia

Bas P H Adriaansen, Antonius Eduard van Herwaarden, André J. Olthaar, Karijn J. Pijnenburg-Kleizen, Agustini Utari, Fred C.G.J. Sweep, Hedi L. Claahsen‐van der Grinten, Paul N. Span, Rob C.B.M. van der Steen, Lizanne Berkenbosch
article en
5 citations

Abstract

Free cortisol concentrations in patients with classic CAH were similar to those in controls and patients with NCCAH, indicating comparable cortisol availability. Additionally, patients with 21OHD produce high concentrations of 21DF, possibly explaining the low occurrence of symptoms in some patients with classic 21OHD. Free cortisol and 21DF levels should be considered in evaluating adrenal insufficiency in patients with CAH.

The Journal of Clinical Endocrinology & MetabolismVol. 110(5)
Diponegoro University (ID), Radboud University Nijmegen (NL), Maastricht University Medical Centre (NL), University Medical Center (US), Radboud University Medical Center (NL), Canisius-Wilhelmina Ziekenhuis (NL), Amalia Kinderziekenhuis (NL)
Good health and well-being
Openalex Percentile: Top 22%
Sexual Differentiation and Disorders
1.17
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Free Cortisol and Free 21-Deoxycortisol in the Clinical Evaluation of Congenital Adrenal Hyperplasia — Bas P H Adriaansen, Antonius Eduard van Herwaarden, et al. · The Journal of Clinical Endocrinology & Metabolism (2024) | TGRS Research Map | TGRS