Adrenal disease

Plasma 21-deoxycortisone: a sensitive additive tool in 21-hydroxylase deficiency in newborns

Eur J EndocrinolPublished Diagnostic accuracy study

Authors' conclusion

Basal serum 21DE appears to be a novel sensitive and specific biomarker of CAH-21D in newborns.

Study context

Population
Newborns screened for congenital adrenal 21-hydroxylase deficiency (CAH-21D)
Comparison
Newborns with CAH-21D vs newborns without CAH-21D
Outcome
Serum 21-deoxycortisone (21DE) levels
Follow-up
Neonatal period
Methodological detailsmass spectrometry-based assay
  • Mass spectrometry-based assay

Performance

As reported in the abstract

Serum 21DE
Test or modelValueMean 21DE:21DF ratio
CAH-21Dmean 17.56 (range 8.58 ng/mL to 23.20 ng/mL) ng/mL4.99

CAH-21D

Valuemean 17.56 (range 8.58 ng/mL to 23.20 ng/mL) ng/mL
Mean 21DE:21DF ratio4.99
In newborns without CAH-21D, 21DE levels were low and not statistically different from the analytical limit of quantification
0.01 ng/mL

Original publication

Plasma 21-deoxycortisone: a sensitive additive tool in 21-hydroxylase deficiency in newborns. Eur J Endocrinol. Published 13 August 2024. doi:10.1093/ejendo/lvae062

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