| Two Cases of Congenital Adrenogenital Syndrome |
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Yung Cho Kwon1, Chong Koo Yun1, Chang Soo Rha1, Hyung Ro Moon1, Byung Hee Lee2 |
1Dept, of Pediatrics, College of Medicine, Seoul, National University
2Dept, of Pediatrics, Young Dung Po City Hospital, Seoul, Korea |
| Congenital Adrenogenital Syndrome의 2 례 |
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권영조1, 윤종구1, 라창수1, 문형노1, 이병희2 |
1서울대학교 의과대학 소아과학교실
2시립영등포병원 소아과 |
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| Abstract |
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The authors report two cases of congenital adrenogenital syndome. The patient in case I was a girl born with ambiguious sex, and manifested virilization and accelerated growth. The height and bone age on admission at age of 3 years and 10 mounths was 103. 5 cm. and 6 years and 9 months, respectively. The vaginogram revealed normal internal genital organs. The blood pressure and electrolytes studies were normal. The 24 hours urinary 17-Ketosteroids was 8. 72 mg. prior to treatment. She was discharged on cortisone acetate 25 mg. daily after cliteridectomy. She was missed during the second years of follow-up. When she was again seen at the outpatient department two years after the discharge, physical examination revealed acne and pubic hair. Her bone age and urinary 17-Ketos-teroids was 13 years and 14. 4 mg/24 hrs, respectively. The patient in case II, a 50 day-old male infant was admitted for the second time to the hospital in salt-losing crisis. His phalus was unusually large and his nipples as well as phalus showed increased pigmentation. He responded poorly to fluid therapy and showed signs of hemorrhagic renal infarction during the first hospitalization. On each admission, the urinary 17-Ketosteroids determination revealed 2. 7 mg/24 hrs and 4. 7 mg/24 hrs. He expired at home 3 days after the second discharge. Both patients were considered to have 21-hydroxylation defect, the latter “salt-loser” and former “non salt-loser” from the clinical evidence.
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