Patients with Addison's disease excrete excessive amounts ofsodium in the urine but retain potassium, thus becoming hyponatremicand hyperkalemic. Early studies demonstrated that the problemscould be ameliorated in humans and animals by administeringextracts from adrenal glands1,2. These extracts were presumedto contain hormones with sodium-retaining, or mineralocorticoid,properties. The existence of distinct mineralocorticoids was,however, not proved until a novel steroid with potent mineralocorticoidactivity was isolated3. This hormone was named aldosterone toacknowledge its unique structural feature, an aldehyde groupat C18.
This article reviews conditions of mineralocorticoid deficiencyor excess, concentrating on primary . . . [Full Text of this Article]
Aldosterone Biosynthesis and Action
Regulation of Aldosterone Secretion
Metabolic Pathway of Aldosterone Biosynthesis
Action of Aldosterone
Mineralocorticoid Deficiency
Salt-Wasting Forms of Congenital Adrenal Hyperplasia
Aldosterone Synthase Deficiency
Other Inherited Disorders of Adrenal Function
Adrenal Insufficiency
Pseudohypoaldosteronism
Mineralocorticoid Excess
Primary Aldosteronism
Glucocorticoid-Suppressible Hyperaldosteronism
Hypersensitive Forms of Congenital Adrenal Hyperplasia
Apparent Mineralocorticoid Excess and Licorice Intoxication
Conclusions
Source Information
From the Divison of Pediatric Endocrinology, Cornell University Medical College, New York.
Address reprint requests to Dr. White at the Division of Pediatric Endocrinology, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75235.
References
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