Abstract
Aldosterone synthase deficiency is an inborn error of metabolism that selectively impairs renal retention of salt and fluid. Clinically the disorder can present with a salt-losing crisis in infancy. Patients surviving this period may be asymptomatic in adulthood. Aldosterone synthase deficiency is inherited as an autosomal recessive trait due to loss of function mutations in CYP11B2, and it is extremely rare. The characteristic biochemical features are hyperreninaemic hypoaldosteronism. It is possible to make the diagnosis of this disorder using a urine steroid profile taken during a salt-losing episode.
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Further Reading
Bassett MH, White PC, Rainey WE. The regulation of aldosterone synthase expression. Mol Cell Endocrinol. 2004;217:67–74.
White PC. Aldosterone synthase deficiency and related disorders. Mol Cell Endocrinol. 2004;217:81–7.
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Clifford-Mobley, O. (2019). Aldosterone Synthase Deficiency. In: Rumsby, G., Woodward, G. (eds) Disorders of Steroidogenesis. Springer, Cham. https://doi.org/10.1007/978-3-319-96364-8_9
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DOI: https://doi.org/10.1007/978-3-319-96364-8_9
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