Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene

A Turkish boy was referred at the age of 3 6/12 years for the evaluation of a premature moustache. No other signs of virilisation were present. The endocrine evaluation led to the diagnosis of nonclassic congenital adrenal hyperplasia. Genetic analysis revealed 2 rare mutations of the CYP21A2 gen...

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Main Authors: Guy Massa, Philippe Gillis, Marianne Schwartz
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2011/913020
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author Guy Massa
Philippe Gillis
Marianne Schwartz
author_facet Guy Massa
Philippe Gillis
Marianne Schwartz
author_sort Guy Massa
collection DOAJ
description A Turkish boy was referred at the age of 3 6/12 years for the evaluation of a premature moustache. No other signs of virilisation were present. The endocrine evaluation led to the diagnosis of nonclassic congenital adrenal hyperplasia. Genetic analysis revealed 2 rare mutations of the CYP21A2 gene, the gene encoding for the 21-hydroxylase enzyme: a recently reported R132C mutation in exon 3 and a R339H mutation in exon 8, both reported in the nonclassic CAH. An early moustache, for which the term premature moustache can be coined, can be the presenting symptom of nonclassic CAH. In all children presenting with a sex or age inappropriate development of a moustache, an endocrine evaluation is indicated.
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institution Kabale University
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spelling doaj-art-8179a11428d34dff89613e57376314f22025-02-03T01:27:44ZengWileyCase Reports in Genetics2090-65442090-65522011-01-01201110.1155/2011/913020913020Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 GeneGuy Massa0Philippe Gillis1Marianne Schwartz2Department of Paediatrics, Jessa Ziekenhuis, B 3500 Hasselt, BelgiumDepartment of Paediatrics, Jessa Ziekenhuis, B 3500 Hasselt, BelgiumDepartment of Clinical Genetics, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, DenmarkA Turkish boy was referred at the age of 3 6/12 years for the evaluation of a premature moustache. No other signs of virilisation were present. The endocrine evaluation led to the diagnosis of nonclassic congenital adrenal hyperplasia. Genetic analysis revealed 2 rare mutations of the CYP21A2 gene, the gene encoding for the 21-hydroxylase enzyme: a recently reported R132C mutation in exon 3 and a R339H mutation in exon 8, both reported in the nonclassic CAH. An early moustache, for which the term premature moustache can be coined, can be the presenting symptom of nonclassic CAH. In all children presenting with a sex or age inappropriate development of a moustache, an endocrine evaluation is indicated.http://dx.doi.org/10.1155/2011/913020
spellingShingle Guy Massa
Philippe Gillis
Marianne Schwartz
Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene
Case Reports in Genetics
title Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene
title_full Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene
title_fullStr Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene
title_full_unstemmed Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene
title_short Premature Moustache As Presenting Symptom of Nonclassic Congenital Adrenal Hyperplasia due to 2 Uncommon Mutations of the CYP21A2 Gene
title_sort premature moustache as presenting symptom of nonclassic congenital adrenal hyperplasia due to 2 uncommon mutations of the cyp21a2 gene
url http://dx.doi.org/10.1155/2011/913020
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