ANTLEY-BIXLER SYNDROME WITH GENITAL ANOMALIES AND DISORDERED STEROIDOGENESIS; ABS1 | |
PORD; P450 OXIREDUCTASE DEFICIENCY | |
201750
OMIM = Online Mendelian Inheritance of Men | |
63269 | |
NADPH--cytochrome P450 reductase | |
1.6.2.4 | |
7q11.23 |
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very rare autosomal recessive Individuals with an Antley-Bixler Syndrome (ABS)-like phenotype ... and ambiguous genitalia and disordered steroidogenesis should be recognized as having a distinct new disease: POR deficiency [Huang N et al. 2005] | |
Laboratory findings | 17-Hydoxypregnenolone [+] normal/inc (plasma) 17-Hydroxyprogesterone normal/inc (plasma) Adrenal androgens (DHEAS, androstenedione) normal/dec (plasma) Adrenocorticotropic hormone (ACTH) normal/inc (plasma) Androstenedione (plasma) Pregnanediol inc (urine) |
Symptoms | adrenal insufficiency arachnodyctyly clitoral hypertrophy craniostenosis cryptorchism genitalia, ambigous hydronephrosis hypertelorism hypospadia microcephaly (<2 SD for age) micropenis oligohydramnion (maternal) onset, childhood onset, infancy onset, neonatal polycystic ovaries scoliosis skeletal changes, skeletal abnormalities small mid-face (malar or maxillary hypoplasia) virilisation |