ISSN 1662-4009 (online)

ey0016.8 | (1) | ESPEYB16

8. Adrenals

Lajic Svetlana , Karlsson Leif , Charmandari Evangelia

Preface: For this year’s chapter on ‘Adrenals’, we have searched the PubMed for articles on ‘adrenal’ or ‘steroidogenesis’ published in English between June 1, 2018 and May 31, 2019. Our search yielded more than 5,000 citations. We have examined all citations individually and selected the following collection of basic research and clinical articles. Whenever possible, we have avoided topics that have been discussed in the Yearbook 2018, unles...

ey0018.8 | Svetlana Lajic, Leif Karlsson, George Paltoglou, and Evangelia Charmandari | ESPEYB18

8. Adrenals

Lajic Svetlana , Karlsson Leif , Paltoglou George , Charmandari Evangelia

PrefaceFor this year’s chapter on ‘Adrenals’, we have searched the PubMed for articles on ‘adrenal’ or ‘steroidogenesis’ published in English between June 1, 2020 and May 31, 2021. Our search yielded more than 5,000 citations. We have examined all citations individually and selected the following collection of basic research and clinical articles. Whenever possible, we have avoided topics that have been discussed in the...

ey0018.8-12 | New Concerns | ESPEYB18

8.12. First-Trimester prenatal dexamethasone treatment is associated with alterations in brain structure at adult age

A Van't Westeinde , L Karlsson , A Nordenstrom , N Padilla , S Lajic

J Clin Endocrinol Metab. 2020; 105(8):dgaa340.https://pubmed.ncbi.nlm.nih.gov/32497228/Here, the authors investigated whether prenatal treatment with dexamethasone (DEX) in the first trimester is associated with alterations of brain morphology on MRI scans. Observed MRI alterations were not linked to any alterations in cognitive function or mood, but were associated with DNA methylation in ...

ey0018.8-13 | New Concerns | ESPEYB18

8.13. Perturbed beta-cell function and lipid profile after early prenatal dexamethasone exposure in individuals without CAH

L Wallensteen , L Karlsson , V Messina , A Nordenstrom , S Lajic

J Clin Endocrinol Metab. 2020;105(7): e2439-48.https://pubmed.ncbi.nlm.nih.gov/32433752/Here, the authors investigated the effects of dexamethasone (DEX) on metabolism in individuals without CAH but treated with DEX during the first trimester of fetal life. Prenatal DEX exposure was associated with decreased beta-cell function and higher cholesterol concentrations.Pre...

ey0019.8 | Svetlana Lajic, George Paltoglou, Leif Karlsson, Evangelia Charmandari | ESPEYB19

8. Adrenals

Lajic Svetlana , Paltoglou George , Karlsson Leif , Charmandari Evangelia

Preface: For this year’s chapter, we searched PubMed for articles on ‘adrenal’ or ‘steroidogenesis’ published in English between June 1, 2021 and May 31, 2022. Our search yielded more than 5,000 citations. We examined all citations individually and selected the following collection of basic research and clinical articles. Whenever possible, we have avoided topics that have been discussed in the Yearbook 2021, unless progress in the field has been incre...

ey0017.8 | Svetlana Lajic, Leif Karlsson, George Paltoglou, Evangelia Charmandari | ESPEYB17

8. Adrenals

Lajic Svetlana , Karlsson Leif , Paltoglou George , Charmandari Evangelia

Preface: For this year’s chapter on ‘Adrenals’, we have searched the PubMed for articles on ‘adrenal’ or ‘steroidogenesis’ published in English between June 1, 2019 and May 31, 2020. Our search yielded more than 5000 citations. We have examined all citations individually and selected the following collection of basic research and clinical articles. Whenever possible, we have avoided topics that have been discussed in the Yearbook 2019, unless...

ey0017.8-6 | Important for Clinical Practice | ESPEYB17

8.6. Cognitive function of children and adolescents with congenital adrenal hyperplasia: Importance of early diagnosis

V Messina , L Karlsson , T Hirvikoski , A Nordenstrom , S Lajic

To read the full abstract: J Clin Endocrinol Metab. 2020; 105(3): dgaa016. PMID: 31927590.Classical congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency requires life-long glucocorticoid (GC) replacement therapy. Previous studies on general cognitive ability in patients with CAH have been conflicting, and the majority focused on intelligence in adult patients. Some studies h...

ey0015.8-15 | New Concerns | ESPEYB15

8.15 Cognitive impairment in adolescents and adults with congenital adrenal hyperplasia

L Karlsson , A Gezelius , A Nordenström , T Hirvikoski , S Lajic

To read the full abstract: Clin Endocrinol (Oxf). 2017; 87(6): 651-659Patients with CAH are treated with lifelong glucocorticoid (GC) replacement therapy and, for the classic form of the disease, treatment with fludrocortisone is also necessary. During different periods throughout life, it may be difficult to achieve optimal dosing of GC replacement therapy, leading to over- or under-treatment and, t...

ey0021.8-0 | Svetlana Lajic, George Paltoglou, Leif Karlsson, Chamila Balagamage, Evangelia Charmandari | ESPEYB21

8. Adrenals

Lajic Svetlana , Paltoglou George , Karlsson Leif , Balagamage Chamila , Charmandari Evangelia

Author for Correspondence: Evangelia Charmandari, MD, MSc, PhD, MRCP(UK), CCST(UK) Professor of Pediatric and Adolescent Endocrinology First Department of Pediatrics National and Kapodistrian University of Athens Medical School ‘Aghia Sophia’ Children’s Hospital Thivon and Papadiamantopoulou Street Athens, 11527, Greece Tel/Fax: +30-213-2013 384 Email:evangelia.charmandari@googlemail.com<p class="abst...

ey0017.8-15 | New Concerns | ESPEYB17

8.15. Altered gray matter structure and white matter microstructure in patients with congenital adrenal hyperplasia: Relevance for working memory performance

Westeinde A Van’t , L Karlsson , Sandberg M Thomsen , A Nordenstrom , N Padilla , S Lajic

To read the full abstract: Cereb Cortex. 2020; 30(5): 2777–2788. PMID: 31819952.Congenital adrenal hyperplasia (CAH), most commonly caused by 21-hydroxylase deficiency, is an autosomal recessively inherited life-threatening impairment in cortisol and, in the severe salt wasting form, aldosterone synthesis. The implementation of neonatal screening programs for CAH and the continuous imp...