21-hydroxylase deficiency epidemiology and demographics: Difference between revisions

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==Overview==
==Overview==
==Epidemiology and Demographics==
==Epidemiology and Demographics==
===Incidence===
===Incidence===
 
*For classic salt wasting disease is 1/20,000 
*For classic salt wasting disease is 1/20,000 
*For classic simple or non-salt wasting is 1/60,000 
*For classic simple or non-salt wasting is 1/60,000 
*For late onset type is 1/1000
*For late onset type is 1/1000
===Prevalence===
===Prevalence===


===Race===
===Race===
*Congenital adrenal hyperplasia due to 21-hydroxylase deficiency usually affects individuals of the Ashkenazi Jews and Mediterranean race.
*Congenital adrenal hyperplasia due to 21-hydroxylase deficiency usually affects individuals of the Ashkenazi Jews and Mediterranean race.
*The Ashkenazi Jews to Mediterranean race ratio is approximately 1 to 3.<ref name="pmid3259306">{{cite journal| author=Pang SY, Wallace MA, Hofman L, Thuline HC, Dorche C, Lyon IC et al.| title=Worldwide experience in newborn screening for classical congenital adrenal hyperplasia due to 21-hydroxylase deficiency. | journal=Pediatrics | year= 1988 | volume= 81 | issue= 6 | pages= 866-74 | pmid=3259306 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3259306  }} </ref>
*The Ashkenazi Jews to Mediterranean race ratio is approximately 1 to 3.<ref name="pmid3259306">{{cite journal| author=Pang SY, Wallace MA, Hofman L, Thuline HC, Dorche C, Lyon IC et al.| title=Worldwide experience in newborn screening for classical congenital adrenal hyperplasia due to 21-hydroxylase deficiency. | journal=Pediatrics | year= 1988 | volume= 81 | issue= 6 | pages= 866-74 | pmid=3259306 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3259306  }} </ref>




The classic type affects approximately 1 in 16,000 live births. NCCAH is one of the most common autosomal recessive disorders in humans and affects approximately 1 in 1000 individuals, but in up to 1–2% among inbred populations, such as Eastern European (Ashkenazi) Jews.<ref name="pmid9556656">{{cite journal |vauthors=Speiser PW, Dupont B, Rubinstein P, Piazza A, Kastelan A, New MI |title=High frequency of nonclassical steroid 21-hydroxylase deficiency |journal=Am. J. Hum. Genet. |volume=37 |issue=4 |pages=650–67 |year=1985 |pmid=9556656 |pmc=1684620 |doi= |url=}}</ref>
The classic type affects approximately 1 in 16,000 live births. NCCAH is one of the most common autosomal recessive disorders in humans and affects approximately 1 in 1000 individuals, but in up to 1–2% among inbred populations, such as Eastern European (Ashkenazi) Jews.<ref name="pmid9556656">{{cite journal |vauthors=Speiser PW, Dupont B, Rubinstein P, Piazza A, Kastelan A, New MI |title=High frequency of nonclassical steroid 21-hydroxylase deficiency |journal=Am. J. Hum. Genet. |volume=37 |issue=4 |pages=650–67 |year=1985 |pmid=9556656 |pmc=1684620 |doi= |url=}}</ref>


Incidence for each region:
=== Incidence for each region: ===
 
21-hydroxylase deficiency is more prevalent in some ethnic groups, particularly in remote geographic regions (''e.g.'' Alaskan Yupiks). Disease incidence for each region mentioned below:
Alaska, Yupik Eskimos : 1/280
* Alaska, Yupik Eskimos : 1/280
France, La Reunion: 1/2,100
* France, La Reunion: 1/2,100
Sweden: 1/9,800
* Sweden: 1/9,800
United States, Wisconsin: 1/11,000
* United States, Wisconsin: 1/11,000
France, Lille: 1/13,000
* France, Lille: 1/13,000
Japan: 1/18,000
* Japan: 1/18,000
United States, Texas: 1/16,000
* United States, Texas: 1/16,000
Scotland: 1/17,000
* Scotland: 1/17,000
Italy: 1/18,000
* Italy: 1/18,000
New Zealand: 1/23,000
* New Zealand: 1/23,000


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 01:43, 13 July 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Mehrian Jafarizade, M.D [2]

Overview

Epidemiology and Demographics

Incidence

  • For classic salt wasting disease is 1/20,000 
  • For classic simple or non-salt wasting is 1/60,000 
  • For late onset type is 1/1000

Prevalence

Race

  • Congenital adrenal hyperplasia due to 21-hydroxylase deficiency usually affects individuals of the Ashkenazi Jews and Mediterranean race.
  • The Ashkenazi Jews to Mediterranean race ratio is approximately 1 to 3.[1]


The classic type affects approximately 1 in 16,000 live births. NCCAH is one of the most common autosomal recessive disorders in humans and affects approximately 1 in 1000 individuals, but in up to 1–2% among inbred populations, such as Eastern European (Ashkenazi) Jews.[2]

Incidence for each region:

21-hydroxylase deficiency is more prevalent in some ethnic groups, particularly in remote geographic regions (e.g. Alaskan Yupiks). Disease incidence for each region mentioned below:

  • Alaska, Yupik Eskimos : 1/280
  • France, La Reunion: 1/2,100
  • Sweden: 1/9,800
  • United States, Wisconsin: 1/11,000
  • France, Lille: 1/13,000
  • Japan: 1/18,000
  • United States, Texas: 1/16,000
  • Scotland: 1/17,000
  • Italy: 1/18,000
  • New Zealand: 1/23,000

References

  1. Pang SY, Wallace MA, Hofman L, Thuline HC, Dorche C, Lyon IC; et al. (1988). "Worldwide experience in newborn screening for classical congenital adrenal hyperplasia due to 21-hydroxylase deficiency". Pediatrics. 81 (6): 866–74. PMID 3259306.
  2. Speiser PW, Dupont B, Rubinstein P, Piazza A, Kastelan A, New MI (1985). "High frequency of nonclassical steroid 21-hydroxylase deficiency". Am. J. Hum. Genet. 37 (4): 650–67. PMC 1684620. PMID 9556656.