Which of the following enzyme deficiency is the most common cause of Andrenogential syndrome?
Correct Answer: 21 a hydroxylase deficiency
Description: 21 a hydroxylase deficiency is the most common cause of androgenital syndrome and its clinical manifestations depends upon the extent of enzyme deficiency. In less severe cases there is only masculinization due to increased androgen production (17 ketosteroids and testosterone). In severe cases, due to mineralocoicoid deficiency they can also present with salt wasting if untreated leading to life threatening volume depletion and shock. 11 beta hydroxylase deficiency is marked by salt retention (increase in 11 DOC) leading to hypeension, masculinization and an increase in 11 deoxycoisol. 17 alpha hydroxylase deficiency is marked by increased production of mineralocoicoids and decreased production of 17 ketosteroids and 17 hydroxycoicoids. Ref: Rapid Review Biochemistry By John W. Pelley, page 91-2
Category:
Pediatrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now