Anesthesia Management in a Patient with 17 Alpha Hydroxylase/17,20 Lyase Deficiency
GAZI MEDICAL JOURNAL, cilt.29, sa.2, ss.152-153, 2018 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 29 Sayı: 2
- Basım Tarihi: 2018
- Doi Numarası: 10.12996/gmj.2018.44
- Dergi Adı: GAZI MEDICAL JOURNAL
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.152-153
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Gazi Üniversitesi Adresli: Evet
Özet
Congenital adrenal hyperplasia (CAH) is a an autosomal recessive disorder resulting from a defect in any of several enzymes involved in biosenthesis of cortisol and sex steroids in adrenal cortex. 21-hydroxylase deficiency (90-95%) is the most common form and 17 alpha-hydroxylase / 17,20 lyase deficiency is the least common (<1%). These enzyme deficiencies result in inadequate cortisol production and consequently increased production of corticotropin-releasing hormone (CRH) and adrenocorticotropin hormone (ACTH). Glucocorticoids and sex steroids are used for this hormonal production disorder as a long time treatment. Therefore, anesthesia management is characteristic in this patient group. We aimed to present general anesthesia management for a thyroidectomy operation planned for a 38-year-old female patient with 17 alpha-hydroxylase / 17,20 lyase deficiency with a history of steroid use.