PLASMA RENIN ACTIVITY IN CONGENITAL VIRILIZING ADRENAL HYPERPLASIA

PEDIATRICS ◽  
1968 ◽  
Vol 41 (5) ◽  
pp. 897-904
Author(s):  
Masashi Imai ◽  
Yoshio Igarashi ◽  
Hirofumi Sokabe

Peripheral plasma renin activity was markedly elevated in two cases of the salt-losing form of congenital virilizing adrenal hyperplasia. The renin activity was reduced after treatment with deoxycorticosterone and sodium chloride. In the hypertensive form of the plasma renin activity was suppressed.

2021 ◽  
Author(s):  
Siska Mayasari Lubis ◽  
Eka Lakshmi Hidayati ◽  
Frida Soesanti ◽  
Bambang Tridjaja AAP

Abstract BackgroundHypertension is an uncommon manifestation of congenital adrenal hyperplasia due to 21-hydroxylase enzyme deficiency (21-OHD CAH). Nevertheless, it is necessary to continuously be aware of hypertension incidence in 21-OHD CAH patients and its possible causes. Conflicting results regarding the role of PRA have been reported. This study aims to evaluate the association between plasma renin activity levels (PRA) with hypertension in 21-OHD CAH children. MethodsWe did an observational analytic study with a cross-sectional study design. The subjects were 21-OHD CAH children, aged >6 months to 18 years, selected by consecutive sampling and then compared between 21-OHD CAH with hypertension and non-hypertension groups. We gathered 40 subjects, 20 subjects in hypertension and 20 subjects in non-hypertension groups.ResultsThere were 16 from 27 (59.3%) and 4 from 13 subjects (30.8%) with hypertension in salt-wasting and simple virilizing type, respectively. There was a significant mean difference in PRA levels between hypertension and non-hypertension groups in salt wasting patients (p=0,016). The risk of hypertension in salt wasting patients with low PRA levels was 1,09 times after controlling for sex, 17-OHP levels, and the last fludrocortisone dose. The last dose of hydrocortisone had a significant relationship with the incidence of hypertension in salt wasting patients. ConclusionsThis study concludes that hypertension in 21-OHD CAH patients during the study period was 32%. The risk of hypertension in salt wasting patients with low PRA levels was 1.09 times after being controlled for sex, 17 OHP level, and the last dose of fludrocortisone.


1967 ◽  
Vol 56 (1_Suppl) ◽  
pp. S84 ◽  
Author(s):  
A. F. Muller ◽  
C. Godard ◽  
A. M. Riondel ◽  
R. Veyrat ◽  
A. Mégevand

1984 ◽  
Vol 59 (4) ◽  
pp. 360-365 ◽  
Author(s):  
K D Griffiths ◽  
J M Anderson ◽  
B T Rudd ◽  
N K Virdi ◽  
G Holder ◽  
...  

1980 ◽  
Vol 44 (12) ◽  
pp. 950-956 ◽  
Author(s):  
SHOTARO YONEDA ◽  
TADAATSU NUKADA ◽  
MASATOSHI IMAIZUMI ◽  
MOTONOBU MIYAI ◽  
HIROSHI ABE

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