hrp0092fc13.1 | Adrenals and HP Axis | ESPE2019
Schubert Tina
, Nicke Lennart
, Schanze André
, Reisch Nicole
, Geyer Armin
, Koehler Katrin
, Huebner Angela
Current hormone substitution therapy of patients with congenital adrenal hyperplasia (CAH) is suboptimal and cannot mimic physiological daily rhythms of hormone secretion. As supra-physiological corticoid doses are necessary to avoid adrenal androgen excess, patients show substantially increased comorbidities such as hyperglycemia, arterial hypertension, reduced growth and osteoporosis. Moreover plasma ACTH is often inadequately suppressed, resulting in undesired excess adrena...