Conditions / Endocrine

cortisone reductase deficiency 2

info ยท Endocrine

A cortisone reductase deficiency that is characterized by a failure to regenerate cortisol via the enzyme 11-beta-hydroxysteroid dehydrogenase, resulting in ACTH-mediated adrenal hyperandrogenism, and has_material_basis_in autosomal dominant inheritance of het

A cortisone reductase deficiency that is characterized by a failure to regenerate cortisol via the enzyme 11-beta-hydroxysteroid dehydrogenase, resulting in ACTH-mediated adrenal hyperandrogenism, and has_material_basis_in autosomal dominant inheritance of heterozygous mutation in the 11-beta-hydroxysteroid dehydrogenase type I (HSD11B1) gene on chromosome 1q32.

Signs and symptoms

  • Low tetrahydrocortisol (THF) plus 5-alpha-THF/tetrahydrocortisone (THE) ratio
  • Reduced urine tetrahydrocortisol plus 5-alpha-THF to tetrahydrocortisone ratio
  • Insulin resistance
  • Acanthosis nigricans
  • Accelerated skeletal maturation
  • Premature pubarche
  • Obesity

Also known as: CORTRD2