Abstract |
Congenital hypoplasia of the adrenal glands (CHA) is a rare condition, particularly in the absence of a central nervous system (CNS) anomaly. Two major types of CHA have been described in the setting of an apparently normal CNS and pituitary: a cytomegalic type usually with X-linked recessive inheritance and a miniature adult type that, when hereditary, is an autosomal recessive trait. Glycerol kinase deficiency (GKD) is an X-linked recessive trait, and it may be associated with CHA and adrenal insufficiency, presumably because of deletion of adjacent X-linked loci. We report on three sibling infants, one male and two females, with normal CNS and lethal CHA of the miniature adult type, selective absence of pituitary LH; two of the infants also had glycerol kinase (GK) activity that was decreased but not in the GKD range. Restriction fragment length polymorphism (RFLP) analysis of X chromosome markers located at Xp21-p22 was carried out on the maternal grandfather, both parents, two of three affected infants, and a living normal brother. The results excluded the X-linked type of this disorder associated with GKD in this family. Autosomal recessive inheritance is most likely.
|
Authors | B A Burke, M R Wick, R King, T Thompson, J Hansen, B T Darrae, U Francke, W K Seltzer, E R McCabe, B W Scheithauer |
Journal | American journal of medical genetics
(Am J Med Genet)
Vol. 31
Issue 1
Pg. 75-97
(Sep 1988)
ISSN: 0148-7299 [Print] United States |
PMID | 2906226
(Publication Type: Case Reports, Journal Article, Review)
|
Chemical References |
- Gonadotropin-Releasing Hormone
- Luteinizing Hormone
- Glycerol Kinase
|
Topics |
- Adrenal Glands
(pathology)
- Adrenal Insufficiency
(congenital, genetics, pathology)
- Chromosomes, Human, Pair 8
- Female
- Genes
- Genes, Recessive
- Glycerol Kinase
(analysis)
- Gonadotropin-Releasing Hormone
(genetics)
- Humans
- Infant, Newborn
- Luteinizing Hormone
(deficiency)
- Male
- Pedigree
- Pituitary Gland
(pathology)
- Polymorphism, Genetic
- Polymorphism, Restriction Fragment Length
- Syndrome
|