KEGG   DISEASE: ACTH単独欠損症
エントリ  
H01011                                                             
名称    
ACTH単独欠損症
  上位グループ
下垂体前葉機能低下症 [DS:H01700]
概要    
Isolated adrenocorticotropic hormone deficiency (IAD) is a rare disease characterized by low plasma ACTH and cortisol levels and preservation of all other pituitary hormones, that may be an underestimated cause of neonatal death. Recently, loss-of-function mutations in the human TPIT (TBX19) gene were detected in IAD. TPIT is a T-box transcription factor with a specific role in differentiation of the corticotroph lineage. It has been reported that TPIT mutations are responsible for two thirds of neonatal-onset complete IAD but can not be detected in partial or late-onset IAD.
カテゴリ  
内分泌代謝疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 05 内分泌, 栄養, 代謝の疾患
  内分泌疾患
   下垂体ホルモン系の疾患
    5A61  下垂体機能低下症またはその他の明示された下垂体の疾患
     H01011  ACTH単独欠損症
病因遺伝子 
TBX19 [HSA:9095] [KO:K10184]
治療薬   
デキサメタゾン [DR:D00292]
ヒドロコルチゾン [DR:D00088]
ヒドロコルチゾンコハク酸エステルナトリウム [DR:D00978]
コルチゾン酢酸エステル [DR:D00973]
ベタメタゾン [DR:D00244]
プレドニゾロン [DR:D00472]
プレドニゾロンコハク酸エステルナトリウム [DR:D01239]
メチルプレドニゾロン [DR:D00407]
リンク   
ICD-11: 5A61.1
ICD-10: E23.6
MeSH: C535668
OMIM: 201400
文献    
  著者
Weintrob N, Drouin J, Vallette-Kasic S, Taub E, Marom D, Lebenthal Y, Klinger G, Bron-Harlev E, Shohat M
  タイトル
Low estriol levels in the maternal triple-marker screen as a predictor of isolated adrenocorticotropic hormone deficiency caused by a new mutation in the TPIT gene.
  雑誌
Pediatrics 117:e322-7 (2006)
DOI:10.1542/peds.2005-1973
文献    
  著者
Couture C, Saveanu A, Barlier A, Carel JC, Fassnacht M, Fluck CE, Houang M, Maes M, Phan-Hug F, Enjalbert A, Drouin J, Brue T, Vallette S
  タイトル
Phenotypic homogeneity and genotypic variability in a large series of congenital isolated ACTH-deficiency patients with TPIT gene mutations.
  雑誌
J Clin Endocrinol Metab 97:E486-95 (2012)
DOI:10.1210/jc.2011-1659
文献    
  著者
Pham LL, Garot C, Brue T, Brauner R
  タイトル
Clinical, biological and genetic analysis of 8 cases of congenital isolated adrenocorticotrophic hormone (ACTH) deficiency.
  雑誌
PLoS One 6:e26516 (2011)
DOI:10.1371/journal.pone.0026516
LinkDB    

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