impe0096p13 | Adrenals and HPA Axis | IMPE2023
del Pilar Montilla María
, Cristina Martínez Rueda Silvia
, Alfonso Builes Carlos
, Agredo Delgado Valentina
, Abad Veronica
Background: Non-classical congenital adrenal hyperplasia (NC-CAH) by variants in the CYP21A2 gene, cause a deficiency in the enzyme 21α-Hydroxylase and accumulation of precursors proximal to the blockage (progesterone and 17-hydroxyprogesterone- 17OHP), and androgen production. 17-OHP levels below 2ng/dl rule out the alteration, while levels above 10ng/dl confirm the diagnosis. Levels between 2-10 ng/dl require ACTH stimulation testing. However,...