Cortisone reductase deficiency 1

General Information (adopted from Orphanet):

Synonyms, Signs: CORTRD1
Number of Symptoms 7
OrphanetNr:
OMIM Id: 604931
ICD-10:
UMLs:
MeSH:
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: 4 - PMID: 18628520 [IBIS]
Inheritance: Autosomal recessive
- PMID: 18628520 [IBIS]
Age of onset: Childhood
- PMID: 18628520 [IBIS]

Disease classification (adopted from Orphanet):

Parent Diseases: AARSKOG SYNDROME, AUTOSOMAL DOMINANT
 -AARSKOG SYNDROME, AUTOSOMAL DOMINANT
Hyperandrogenism due to cortisone reductase deficiency
 -AARSKOG SYNDROME, AUTOSOMAL DOMINANT
 -Rare endocrine disease
 -Rare genetic disease
 -Rare gynecologic or obstetric disease

Comment:

Cortisone reductase deficiency (CRD) is characterized by a failure to regenerate cortisol from cortisone via 11beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1), resulting in increased cortisol clearance, activation of the hypothalamic-pituitary-axis (HPA) and ACTH-mediated adrenal androgen excess (PMID:18628520).

Symptom Information: Sort by abundance 

1
(HPO:0001596) Alopecia 18628520; 11150889 IBIS 162 / 7739
2
(HPO:0001007) Hirsutism 18628520; 11150889 IBIS 91 / 7739
3
(HPO:0008185) Precocious puberty in males 18628520 IBIS 4 / 7739
4
(HPO:0000876) Oligomenorrhea 18628520 IBIS 13 / 7739
5
(HPO:0008222) Female infertility 18628520; 11150889 IBIS 7 / 7739
6
(HPO:0001061) Acne 18628520 IBIS 33 / 7739
7
(HPO:0030348) Increased circulating androgen level 18628520 IBIS 8 / 7739

Associated genes:

H6PD;

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Cortisone reductase deficiency (CRD) results from a failure to regenerate the active glucocorticoid cortisol from cortisone via the enzyme 11-beta-hydroxysteroid dehydrogenase (HSD11B1; 600713). The oxoreductase activity of 11-beta-HSD requires the NADPH-regenerating enzyme hexose-6-phosphate dehydrogenase (H6PD; 138090) within the endoplasmic ...
Clinical Description OMIM A syndrome consistent with type I 11-beta-hydroxysteroid dehydrogenase (HSD11B1) deficiency had been described in 3 female patients, 2 of whom were sibs (Taylor et al., 1984; Phillipou and Higgins, 1985; Savage et al., 1991; Phillipov et al., 1996). The ...
Molecular genetics OMIM In the woman of Scottish descent with CRD studied by Jamieson et al. (1999) and in 2 other patients, Draper et al. (2003) found triallelic digenic inheritance of mutations in the HSD11B1 (600713.0001) and H6PD (138090.0001; 138090.0002) genes. ...