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Table 1 Characteristics of infants with non-CAH salt-wasting forms of adrenal origin

From: Congenital primary adrenal insufficiency and selective aldosterone defects presenting as salt-wasting in infancy: a single center 10-year experience

 

Age at onset (days)

Sex

Ethnicity

Ancestry

Clinical presentation

Additional clinical features

pH

Nammol/L(135 –145)

K mmol/L(3.5 – 5.5)

Cl mmol/L(95–110)

Glucose mg/dl (50–110)

Blood pressure mmHg

ACTH pg/ml (5–55)

Cortisol mcg/dl (5–20)

Aldosterone pg/ml (50–900)

Renin pg/ml (5–270)

Gene

Mutation

1

21

M

Caucasian

Romanian

Salt wasting crisis, fever, fatigue, poor feeding

NR

 

130

5.74

92

89

72/36

286

5.6

165

784

NROB1

P353LfsX387

2

21

M

Caucasian

Romanian

Poor feeding, dehydration, hyperpigmentation

NR

 

127.2

5.9

95

48

79/40

356

6.5

56

668

NROB1

P353LfsX387

3

3

M

Caucasian

Romanian

Poor feeding

NR

 

133

5.4

99

62

 

184

4.8

54

452

NROB1

P353LfsX387

4

8

M

Caucasian

Romanian

Poor feeding, recurrent vomiting

NR

7.27

127

6.91

99

66

 

176

14

 

528

NROB1

P353LfsX387

5

18

 

Caucasian

Italian

Dehydration, failure to thrive, poor feeding

NR

7.12

127

9.53

93

57

65/38

59.3

22.4

>800

639

SCNN1G

c.1294+5G>A, c.1295-10T>A

6

60

F

Caucasian

Italian

failure to thrive, recurrent vomiting

NR

7.43

124

6.1

94

68

73/40

19.1

14.9

98

826

CYP11B2

Q170X, E198D, V386A

7

24

F

Caucasian

Italian

failure to thrive, recurrent vomiting

NR

7.38

120

6.72

99

69

72/35

15.8

5.7

255

1250

CYP11B2

p.T185I, p.E198D, p.V386A

8

1

M

Caucasian

Italian

Hypoglycemia, respiratory distress, hyperpigmentation

cholestatic jaundice

7.27

126

3.77

97

50

70/35

>1250

<0.2

224

107

MC2R

T159K, A233D

9

1

F

Caucasian

Italian

Hypoglycemia, poor feeding, recurrent vomiting, hyperpigmentaiton

cholestatic jaundice

7.29

128

3.92

98

24

69/34

1248

0.49

181

181

MC2R

T159K

10

28

M

Caucasian

Albanian

poor feeding, recurrent vomiting, fever

Urinary sepsis, right kidney hypoplasia

7.30

129

7.56

97

52

80/40

23

13.1

933

456

Transient PHA

 

11

90

M

Caucasian

Romanian

poor feeding, hypotonia, recurrent vomiting, fever

Urinary sepsis, right renal pelvis distension

7.31

122

7.34

96

53

80/43

43

12

989

563

Transient PHA

 

12

180

F

Caucasian

Italian

poor feeding, recurrent vomiting, diarrhea

Intrauterine growth retardation

7.22

110

6.3

74

44

88/44

>1250

2.91

155

677

unknown

 

13

15

M

Caucasian

Italian

Dehydration, failure to thrive, recurrent vomiting, hyperpigmentation

46 XY,DSD, dysmorphic features, retinopathy, developmental delay

7.23

122

6.9

89

43

 

>1250

2.3

98

478

unknown