par Lejeune-Lenain, C. 
;Cantraine, Francis ;Dufrasnes, M.;Prévot, Françoise ;Wolter, Renee Adrienne ;Franckson, Jean
Référence Clinical endocrinology, 12, 6, page (525-535)
Publication Publié, 1980-06
;Cantraine, Francis ;Dufrasnes, M.;Prévot, Françoise ;Wolter, Renee Adrienne ;Franckson, Jean Référence Clinical endocrinology, 12, 6, page (525-535)
Publication Publié, 1980-06
Article révisé par les pairs
| Résumé : | A modified short ACTH test for the detection of heterozygote carriers of 21-hydroxylse deficiency (21-OHD) was applied to twenty-one controls and fourteen parents of children with 21-OHD. The following modifications were introduced: (1) Endogenous ACTH was suppressed by dexamethasone administration prior to the test, (2) Plasma 17-hydroxyprogesterone (17-OHP), cortisol (F), progesterone (P), corticosterone (B) and Δ4-androstenedione (A) were measured, (3) Variables studied were the ratio of plasma increments (Δ) between precursors and end products, (4) Data were analysed by a step-wise discriminant analysis. Significant alterations in the metabolic pathway of F, B and A were demonstrated. The discriminant analysis showed that the addition of B pathway data did not improve the discrimintion potency of the test performed on F pathway data. The combination of variates which provided the best discrimination was the logarithic sum of Δ170HP/ΔF at 15 and 30 min. It led to a 94% correct classification for normals and carriers. |
