Adrenal hypoplasia congenita is a rare X-linked disorder characterizedby primary adrenal insufficiency and hypogonadotropic hypogonadism.1All patients described to date have been male, and female carriershave had no clinical symptoms.1,2,3,4,5,6,7,8,9,10 Althoughmost patients present with adrenal crisis in the neonatal period,the onset of adrenal insufficiency varies, even within a family,from the neonatal period to 10 years of age.1,3,4,9
The gene responsible for this disorder, DAX1, is on the shortarm of the X chromosome11 and encodes a 470-amino-acid memberof the nuclear hormone receptor superfamily. The DNA-bindingdomain consists of amino acid repeats rather than the . . . [Full Text of this Article]
Case Report
Methods
DNA Extraction, Amplification, and Sequencing of the DAX1 Gene
Subcloning
Sequence-Specific Oligonucleotide Hybridization
Hormonal Measurements
Results
Discussion
Source Information
From the Developmental Endocrinology Branch, National Institute of Child Health and Human Development (D.P.M., T.T., J.B., G.B.C.); and the U.S. Public Health Service (D.P.M., J.B.) both in Bethesda, Md.
Address reprint requests to Dr. Merke at DEB/NICHD/NIH, Bldg. 10, Rm. 10N262, 10 Center Dr., MSC 1862, Bethesda, MD 20892-1862, or at deborah_merke@nih.gov.
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