hrp0098p1-113 | Adrenals and HPA Axis 2 | ESPE2024
Elisa Amodeo Maria
, Profeti Elisa
, Rivalta Beatrice
, Deodati Annalisa
, Agolini Emanuele
, Finocchi Andrea
, Cotugno Nicola
, Palma Paolo
, Cianfarani Stefano
Background: Multiple autosomal recessive genes have been linked to primary adrenal insufficiency (PAI). Recently, sphingosine-1-phosphate lyase 1 (SGPL1) gene mutations were recognized as a cause of sphingolipidosis with multisystemic manifestations, including PAI. Sphingosine phosphate lyase (SGPL1) insufficiency syndrome (SPLIS) is characterized by steroid-resistant nephrotic syndrome, primary adrenal insufficiency (PAI), neurological deterioration, immunode...