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Review Article
Mechanisms of Disease
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Volume 331:250-258 July 28, 1994 Number 4
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Disorders of Aldosterone Biosynthesis and Action
Perrin C. White

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Patients with Addison's disease excrete excessive amounts of sodium in the urine but retain potassium, thus becoming hyponatremic and hyperkalemic. Early studies demonstrated that the problems could be ameliorated in humans and animals by administering extracts from adrenal glands1,2. These extracts were presumed to contain hormones with sodium-retaining, or mineralocorticoid, properties. The existence of distinct mineralocorticoids was, however, not proved until a novel steroid with potent mineralocorticoid activity was isolated3. This hormone was named aldosterone to acknowledge its unique structural feature, an aldehyde group at C18.

This article reviews conditions of mineralocorticoid deficiency or 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.

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