Adrenal disease

Side‐chain cleavage enzyme deficiency: Systematic review and case series

Clin Endocrinol (Oxf)Published Systematic review with case series

Authors' conclusion

SCCD-TMG is associated with four specific genotypes and distinct gonadal characteristics from SCCD-AG with overlapping features of PAI.

Study context

Population
Genetically proven P450 side-chain cleavage deficiency (SCCD) patients: 3 from authors' centre plus 52 probands from systematic review52 probands
Participants
19 vs 15
Comparison
46,XY SCCD-TMG vs SCCD-AG
  • SCCD-TMGn = 19
  • SCCD-AGn = 15reference
Outcome
Phenotypic and gonadal characteristics, 46,XY SCCD-TMG vs SCCD-AG
Methodological detailsretrospective review, per-patient data analysis
  • Retrospective review
  • Per-patient data analysis

Pooled result

As reported in the abstract

More common in SCCD-TMG
spontaneous puberty 9/9 vs. 0/3; P = 0.0045
SCCD-TMG
normal prepubertal gonadotropins 5/5 vs. 6/6; P = 0.002
SCCD-TMG
pubertal gonadotropins 2/9 vs. 0/3; P = 1
More common in SCCD-TMG
normal pubertal testosterone 9/11 vs. 0/3; P = 0.027
Testicular adrenal rest tumours exclusive to SCCD-TMG
4

Further pooled results

Case series

Two new Indian SCCD cases with three novel likely pathogenic variants; pubertal follow-up of a previously reported patient

46,XX SCCD with p.Glu314Lys/X-CHS

Normal gonadotropins with spontaneous puberty

Original publication

Side‐chain cleavage enzyme deficiency: Systematic review and case series. Clin Endocrinol (Oxf). Published 17 November 2022. doi:10.1111/cen.14848

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