hrp0094p1-1 | Adrenal A | ESPE2021
Schroder Mariska A.M.
, van Herwaarden Antonius E.
, Span Paul N.
, Akker Erica L.T. van den
, Bocca Gianni
, Hannema Sabine E
, Kamp Hetty J. van der
, Kort Sandra W.K. de
, Mooij Christiaan F.
, Schott Dina A.
, Straetemans Saartje
, Tellingen Vera van
, Velden Janielle A. van der
, Sweep Fred C.G.J
, Claahsen-van der Grinten Hedi L.
,
Context: Children with 21-hydroxylase deficiency (21OHD) require chronic glucocorticoid administration to substitute glucocorticoids and suppress adrenocorticotropic hormone-induced hyperandrogenemia. There is still no evidence about the best timing of the highest hydrocortisone (HC) dose. Administration of the highest dose in the morning aims to mimic the physiological rhythm of cortisol, while a high dose late in the evening may inhibit the early-morning inc...