| |
| | eMedicine - Hyperaldosteronism : Article by George P Chrousos, MD, FAAP, MACP, MACE (Site not responding. Last check: 2007-10-07) |
 | | Mineralocorticoid receptors exhibit equal affinity for mineralocorticoids and cortisol, yet the aldosterone receptors in the distal tubule and elsewhere are protected from the activation by cortisol by 11beta-hydroxysteroid dehydrogenase type 2, which locally converts cortisol to inactive cortisone. |
 | | The mineralocorticoid dependency of sodium reabsorption is increased during infancy and childhood, with its peak in the neonatal period before decreasing progressively with advancing age. |
 | | Treatment is with high-dose synthetic glucocorticoids with minimal mineralocorticoid activity, such as dexamethasone (1-3 mg/d), to suppress plasma levels of ACTH and, ultimately, the secretion of adrenal steroids with androgenic and mineralocorticoid activity. |
| www.emedicine.com /ped/topic1056.htm (9832 words) |
|