The other possible cause in a case like hers might be a CAH due to a 21
hydroxylase deficiency.......
Lab tests for exclusion of other disorders that may cause similar symptoms: 1) Prolactin 2) TSH 3) 17 - hydroxyprogesterone to rule out 21 -
hydroxylase deficiency (CAH).
Sometimes women who appear to have PCOS actually have an adrenal gland problem called «non-classic congenital adrenal hyperplasia due to 21 -
hydroxylase deficiency» or NCCAH.
Progesterone supplementation may increase pregnanetriol levels, but very high levels — while rare — are suggestive of 21 -
hydroxylase deficiency, which is the proximate underlying cause of adrenal hyperplasia.
Future directions in the study and management of congenital adrenal hyperplasia due to 21 -
hydroxylase deficiency.
An example is the so - called 21 -
hydroxylase deficiency, the most frequent form of the congenital syndrome there the adrenal glands produce excess androgens, which are male hormones.
Not exact matches
Another issue would be vitamin C and / or copper
deficiencies since these compounds are necessary cofactors that work with Dopamine B -
hydroxylase to convert dopamine to Nr.
Koch discusses the enzyme
deficiency: «Phenylketonuria (PKU) is caused by an autosomal recessive defect in the enzyme phenylalanine
hydroxylase, which is required for converting phenylalanine to tyrosine.
[1] For those with phenylketonuria, however, a severe
deficiency in the enzyme phenylalanine
hydroxylase prevents conversion of phenylalanine to tyrosine, making tyrosine an essential amino acid for this population.