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Birth length and weight in congenital adrenal hyperplasia according to the different phenotypes

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Abstract

The aims of this study were to: (1) retrospectively investigate the birth length and weight of our patients with congenital adrenal hyperplasia (CAH); (2) compare these parameters with standards for birth length and weight recently assessed in an Italian control population; (3) evaluate whether neonatal auxological data may change depending on the different clinical forms of CAH. Birth length and weight were retrospectively evaluated in 101 children with different clinical forms of CAH and compared with standards for birth length and weight assessed in an Italian control population. In both sexes the average birth length of patients with classical CAH was greater than the mean birth length of the controls, and both length and weight were greater in children with classical CAH than in those with the non-classical form. Among the patients with classical CAH, those with the salt-wasting form were longer but also weighed less than those with the simple-virilizing form. Conclusions: (1) fetal length velocity in patients with CAH may be increased only in those infants with classical forms of the syndrome, while it is unaffected in those with the non-classical form; (2) the greater the enzymatic activity impairment, the longer the birth length of newborns with CAH.

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Abbreviations

AVP:

Arginine-vasopressin

CAH:

Congenital adrenal hyperplasia

GA:

Gestational age

21-OH-D:

21-Hydroxylase deficiency

SV:

Simple virilizing

SW:

Salt-wasting

References

  1. Balsamo A, Cacciari E, Piazzi S, Cassio A, Bozza D, Pirazzoli P, Zappulla F (1996) Congenital adrenal hyperplasia: neonatal mass screening compared with clinical diagnosis only in the Emilia-Romagna region of Italy, 1980–1995. Pediatrics 98:362–367

    PubMed  CAS  Google Scholar 

  2. Barbaro M, Lajic S, Baldazzi L, Balsamo A, Pirazzoli P, Cicognani A, Wedel A, Cacciari E (2004) Functional analysis of two recurrent amino acid substitutions in the CYP21 gene from Italian patients with congenital adrenal hyperplasia. J Clin Endocrinol Metab 89:2402–2407

    Article  PubMed  CAS  Google Scholar 

  3. Biglieri EG, Kater CE (1991) Mineralocorticoids in congenital adrenal hyperplasia. J Steroid Biochem Mol Biol 40:493–499

    Article  PubMed  CAS  Google Scholar 

  4. de Zegher F, Francois I, Boehmer ALM, Saggese G, Muller J, Hiort O, Sultan C, Clayton P, Brauner R, Cacciari E, Ibanez L, Van Vliet, Tiulpakov A, Saka N, Rotzen M, Sippell WG (1998) Androgens and fetal growth. Horm Res 50:243–244

    Article  PubMed  Google Scholar 

  5. de Zegher F, Devlieger H, Eeckels R (1999) Fetal growth: boys before girls. Horm Res 51:258–259

    Article  PubMed  Google Scholar 

  6. Dotsch J, Hohenberger I, Riepe FG, Sippell WG, Dorr HG (2005) Serum cortisol and cortisone levels in newborns with congenital adrenal hyperplasia before the start of therapy. J Endocrinol Invest 28:413–416

    PubMed  CAS  Google Scholar 

  7. Gagliardi L, Macagno F, Pedrotti D, Coraiola M, Furlan R, Agostinis L, Milani S (1999) Weight, length and head circumference at birth of a North-eastern Italian population. Report of the ad hoc committee of the Italian Society of Neonatology. Riv Ital Pediatr 25:159–169

    Google Scholar 

  8. Gluckman PD (1997) Endocrine and nutritional regulation of prenatal growth. Acta Paediatr 423 (Suppl):153–157

    CAS  Google Scholar 

  9. Jaaskelainen J, Voutilainen R (1997) Growth of patients with 21-hydroxylase deficiency: an analysis of the factors influencing adult height. Pediatr Res 41:30–33

    Article  PubMed  CAS  Google Scholar 

  10. New MI, Lorenzen F, Lerner AJ, Kohn B, Oberfield SE, Pollack MS, Dupont B, Stoner E, Levy DJ, Pang S, Levine LS (1983) Genotyping steroid 21-hydroxylase deficiency: hormonal reference data. J Clin Endocrinol Metab 57:320–326

    Article  PubMed  CAS  Google Scholar 

  11. Speiser PW, White PC (2003) Congenital adrenal hyperplasia. N Engl J Med 349:776–788

    Article  PubMed  CAS  Google Scholar 

  12. Taijma T, Fujieda K, Nakael J, Toyoura T, Shimozawa K, Kusuda S, Goji K, Nagashima T, Cutler GB Jr (1997) Molecular basis of nonclassical steroid 21-hydroxylase deficiency detected by neonatal mass screening in Japan. J Clin Endocrinol Metab 82:2350–2356

    Article  Google Scholar 

  13. Therrell BL Jr, Berenbaum SA, Manter-Kapanke V, Simmank J, Korman K, Prentice L, Gonzalez J, Gunn S (1998) Results of screening 1.9 million Texas newborns for 21-hydroxylase-deficient congenital adrenal hyperplasia. Pediatrics 101:583–590

    Article  PubMed  Google Scholar 

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Correspondence to Filippo De Luca.

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Balsamo, A., Wasniewska, M., Di Pasquale, G. et al. Birth length and weight in congenital adrenal hyperplasia according to the different phenotypes. Eur J Pediatr 165, 380–383 (2006). https://doi.org/10.1007/s00431-005-0075-y

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  • DOI: https://doi.org/10.1007/s00431-005-0075-y

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