çocuk sağlığı ve hastalıkları Flashcards
By ….., gonadal sex is determined
6 weeks
…….. weeks development of internal and external genitalia= sexual differentiation
6-12 weeks
Testosterone
Wolffian ducts oluşumu
AMH
Mullerian
Testosterone must be converted into
Dihydrotestosterone (DHT)
Testosterone- to - DHT
5a reductase sorumlu bu dönüşümden
Estradiol produced by …… of Testosterone
Aromatization
The most common cause of virilized females
Congenital adrenal hyperplasia
11 B OHase deficiency
Second most common cause of CAH
Hypertension
POR (cytochrome P450 oxidoreductase) deficiency
Antley- Bixler syndrome
Clinival findings in congenital adrenal hyperplasia
Ambiguous genitalia
Hypertension- 11B and 17a hydroxylase deficiency
46XY DSD with CAH
Defects of Testosterone synthesis with cortisol deficiency
46 XY DSD without adrenal insufficiency
17/20 lyase deficiency
17 B hydroxysteroid dehydrogenase 3 deficiency
No mullerian structures
Normal cortisol levels
Redistrubition of K by an increase in intracellular uptake
- alkalosis
- insulin
- medications