21-hydroxylase deficiency secondary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{21-hydroxylase deficiency}} | {{21-hydroxylase deficiency}} | ||
{{CMG}} {{AE}} {{ | {{CMG}}; {{AE}}{{MJ}} | ||
==Overview== | ==Overview== | ||
Continued monitoring of hormone balance and careful readjustment of [[glucocorticoid]] dose is helpful in controlling [[fertility]] and preventing [[adrenal crisis]] in patient with | Continued monitoring of hormone balance and careful readjustment of [[glucocorticoid]] dose is helpful in controlling [[fertility]] and preventing [[adrenal crisis]] in patient with 21-hydroxylase deficiency. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
===Preventing hyperandrogenism and optimizing fertility=== | ===Preventing hyperandrogenism and optimizing fertility=== | ||
Continued monitoring of hormone balance and careful | Continued monitoring of hormone balance and careful adjustment of [[glucocorticoid]] dose is helpful in controlling [[infertility]], but in general, women with 21-hydroxylase deficiency have a lower fertility rate.<ref name="pmid24083158">{{cite journal |vauthors=Mnif MF, Kamoun M, Kacem FH, Mnif F, Charfi N, Naceur BB, Rekik N, Abid M |title=Reproductive outcomes of female patients with congenital adrenal hyperplasia due to 21-hydroxylase defi ciency |journal=Indian J Endocrinol Metab |volume=17 |issue=5 |pages=790–3 |year=2013 |pmid=24083158 |pmc=3784860 |doi=10.4103/2230-8210.117196 |url=}}</ref> | ||
===Preventing adrenal crisis=== | ===Preventing adrenal crisis=== | ||
To prevent [[adrenal crisis]], all persons taking glucocorticoids replacement should take bolus dose of glucocorticoids during severe illness, surgery and severe exhaustion. | |||
== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 17:53, 29 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
Continued monitoring of hormone balance and careful readjustment of glucocorticoid dose is helpful in controlling fertility and preventing adrenal crisis in patient with 21-hydroxylase deficiency.
Secondary Prevention
Preventing hyperandrogenism and optimizing fertility
Continued monitoring of hormone balance and careful adjustment of glucocorticoid dose is helpful in controlling infertility, but in general, women with 21-hydroxylase deficiency have a lower fertility rate.[1]
Preventing adrenal crisis
To prevent adrenal crisis, all persons taking glucocorticoids replacement should take bolus dose of glucocorticoids during severe illness, surgery and severe exhaustion.
References
- ↑ Mnif MF, Kamoun M, Kacem FH, Mnif F, Charfi N, Naceur BB, Rekik N, Abid M (2013). "Reproductive outcomes of female patients with congenital adrenal hyperplasia due to 21-hydroxylase defi ciency". Indian J Endocrinol Metab. 17 (5): 790–3. doi:10.4103/2230-8210.117196. PMC 3784860. PMID 24083158.