Abstract

Five patients with congenital adrenal hyperplasia due to an incomplete deficiency of 21-hydroxylation were treated by aminoglutethimide administered separately or in combination with dexamethasone. The results indicate that AG possesses an inhibitory action on 21- and 11-hydroxylations, more evident in patients with a preexisting incomplete defect of a hydroxylation than in normal subjects. AG may thus serve as a challenger, making obvious an incomplete enzymatic defect. The qualitatively different change of pregnantriol excretion in response to AG (increase) as compared to control subjects (decrease) may serve as a dynamic approach permitting the recognition of an incomplete subclinical defect of 21-hydroxylation.

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