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10.1097/MED.0000000000000256

http://scihub22266oqcxt.onion/10.1097/MED.0000000000000256
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C4898193!4898193!27032061
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suck abstract from ncbi


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pmid27032061      Curr+Opin+Endocrinol+Diabetes+Obes 2016 ; 23 (3): 225-32
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  • Novel Treatment Strategies in Congenital Adrenal Hyperplasia #MMPMID27032061
  • Turcu AF; Auchus RJ
  • Curr Opin Endocrinol Diabetes Obes 2016[Jun]; 23 (3): 225-32 PMID27032061show ga
  • Purpose of review: In recent years, important steps have been taken to improve the treatment of congenital adrenal hyperplasia (CAH), a relatively stagnant area for decades. In this review, we summarize these advances and propose future lines of investigation. Recent findings: The two main goals of CAH treatment are to replace the deficient hormones when necessary and to dampen the adrenorcorticotropin (ACTH) activation and the ensuing adrenal androgen excess. Glucocorticoids have been the mainstay of CAH treatment, but available preparations only partially meet the clinical needs. Recent efforts have focused on improving the delivery of glucocorticoid replacement agents, to closer mimic the physiologic secretion pattern. Examples include modified-release oral glucocorticoids and continuous subcutaneous hydrocortisone pumps. Furthermore, non-glucocorticoid approaches to address the androgen excess have emerged, such as inhibition of key androgenic enzymes and ACTH secretion blockade by corticotropin-releasing hormone-receptor antagonists. Summary: The promising recent progress made in CAH treatment brings new perspectives for individualized care in this complex disease.
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