Congenital adrenal hyperplasia historical perspective: Difference between revisions

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* In 1981, Vale defined characterization and synthesis of corticotropin-releasing hormone.  
* In 1981, Vale defined characterization and synthesis of corticotropin-releasing hormone.  


* From 1980-present the molecular era: cloning and functional characterization of steroid receptors, steroidogenic enzymes, and adrenal transcription factors are reported, and the molecular basis for human adrenal diseases is defined.
* From 1980-present called the molecular era:  
** Cloning and functional characterization of steroid receptors
** Steroidogenic enzymes
** Adrenal transcription factors are reported
** Molecular basis for human adrenal diseases.


==References==
==References==

Revision as of 18:49, 6 July 2017

Congenital adrenal hyperplasia main page

Overview

Classification

21-hydroxylase deficiency
11β-hydroxylase deficiency
17 alpha-hydroxylase deficiency
3 beta-hydroxysteroid dehydrogenase deficiency
Cytochrome P450-oxidoreductase (POR) deficiency (ORD)
Lipoid congenital adrenal hyperplasia

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Historical Perspective

Congenital adrenal hyperplasia first time seen in 1865 by Luigi De Crecchio, an Italian pathologist, in a man at autopsy, who had large adrenal glands and female internal organs. Important aspects of discoverinh adrenal hormones and diseased include congenital adrenal hyperplasia below:[1][2][3][4]

  • In 1563, Eustachius described the adrenals and then published by Lancisi in 1714.
  • In 1849, Thomas Addison, found on a bronzed appearance associated with the adrenal glands called melasma suprarenale while searching for the cause of pernicious anemia.
  • In 1855, Thomas Addison defined the clinical features and autopsy findings in 11 cases of diseases of the suprarenal capsules, and half of them were tuberculous in origin.
  • In 1856, In adrenalectomy experiments, Brown-Séquard found that the adrenal glands are nessesary for life.
  • In 1896, William Osler prepared an oral glycerin extract derived from pig adrenals and showed that it had clinical benefit in patients with Addison disease.
  • In 1905, Bulloch and Sequeira described patients with congenital adrenal hyperplasia.
  • In 1936, Selye described the concept of stress and its effect on pituitary-adrenal function.
  • In 1937-1952, Kendall and Reichstein, defined the Isolation and structural characterization of adrenocortical hormones.
  • In 1943, Li and colleagues isolated adrenocorticotropic hormone from sheep pituitary.
  • In 1950, Hench, Kendall, and Reichstein shared the Nobel Prize in Medicine for describing the anti-inflammatory effects of cortisone in patients with rheumatoid arthritis
  • In 1956, Conn described primary aldosteronism.
  • In 1981, Vale defined characterization and synthesis of corticotropin-releasing hormone.
  • From 1980-present called the molecular era:
    • Cloning and functional characterization of steroid receptors
    • Steroidogenic enzymes
    • Adrenal transcription factors are reported
    • Molecular basis for human adrenal diseases.

References

  1. Delle Piane L, Rinaudo PF, Miller WL (2015). "150 years of congenital adrenal hyperplasia: translation and commentary of De Crecchio's classic paper from 1865". Endocrinology. 156 (4): 1210–7. doi:10.1210/en.2014-1879. PMID 25635623.
  2. Melmed, Shlomo (2016). Williams textbook of endocrinology. Philadelphia, PA: Elsevier. ISBN 978-0323297387.=
  3. HENCH PS, KENDALL EC (1949). "The effect of a hormone of the adrenal cortex (17-hydroxy-11-dehydrocorticosterone; compound E) and of pituitary adrenocorticotropic hormone on rheumatoid arthritis". Proc Staff Meet Mayo Clin. 24 (8): 181–97. PMID 18118071.
  4. Biglieri EG, Herron MA, Brust N (1966). "17-hydroxylation deficiency in man". J. Clin. Invest. 45 (12): 1946–54. doi:10.1172/JCI105499. PMC 292880. PMID 4288776.


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