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X-linked Congenital Adrenal Hypoplasia with a Novel NR0B1/DAX Gene Mutation
Mary B Abraham1, Vinutha B Shetty, Fiona McKenzie
1Department of Endocrinology, Princess Margaret Hospital,; #School of Paediatrics and Child Health, The University of Western Australia; and $Genetic Services of Western Australia, Princess Margaret Hospital and King Edward Memorial Hospital; Perth, Australia. Correspondence to: Dr Mary B Abraham, Department of Endocrinology and Diabetes, Princess Margaret Hospital, Perth, Australia. Mary.Abraham@health.wa.gov.au.
Background:
The etiology of primary adrenal insufficiency has implications for further management of the condition.
Case Characteristics:
A 5-year-old boy presented in adrenal crisis with glucocorticoid and mineralocorticoid deficiency.
Observation:
Investigations confirmed primary adrenal insufficiency and ruled out the common etiologies. Genetic testing identified a novel NR0B1/DAX gene mutation.
Message:
A genetic diagnosis in children with primary adrenal insufficiency is useful to provide genetic counselling.
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