hrp0092p1-298 | Adrenals and HPA Axis (2) | ESPE2019

First Morning Pregnanetriol and 17-Hydroxyprogesterone Correlated Significantly Each Other with in 21-Hydroxylase Deficiency

Itonaga Tomoyo , Izawa Masako , Hamajima Takashi , Hasegawa Yukihiro

Background: Biochemically monitoring 21-hydroxylase deficiency (21OHD) treatment is challenging. Serum/blood 17-hydroxyprogesterone (17OHP) measurements, especially in the early morning before medication, are traditionally used for this purpose. Urinary pregnanetriol (PT), a urinary metabolite of 17OHP, may also be used. Based on auxological data, we previously reported that the first morning PT value in the range of 2.2–3.3 mg/gCr is optimal for monitori...

hrp0084p2-214 | Bone | ESPE2015

TmP/GFR is a Useful Marker in Making a Clinical Diagnosis of X-Linked Hypophosphataemic Rickets Caused by the PHEX Gene Mutation

Takeda Ryojun , Miyai Kentaro , Takagi Masaki , Goto Masahiro , Ariyasu Daisuke , Izawa Masako , Igaki Junko , Suzuki Eri , Nakamura Yoshie , Hasegawa Yukihiro

Background: The clinical diagnosis of x-linked hypophosphatemic (XLH) rickets is based on a number of biochemical observations. These include a reduction in the percentage of tubular reabsorption of phosphate (%TRP), and in the maximal tubular phosphate reabsorption capacity corrected for glomerular filtration rate (TmP/GFR). However, it is important to maintain sufficient renal blood flow in order to accurately calculate TmP/GFR.Objective: The aims of t...