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| | eMedicine - 3-Beta-Hydroxysteroid Dehydrogenase Deficiency : Article Excerpt by: J Paul Frindik, MD |
 | | Pathophysiology: Anatomically, the adrenal gland can be divided into 3 zones, (1) the zona glomerulosa, which produces predominately mineralocorticoid, (2) the zona fasciculata, which produces predominately glucocorticoid, and (3) the zona reticularis, which produces predominantly androgens. |
 | | Think of the zona glomerulosa and the zonae fasciculata and reticularis as 2 separate endocrine organs because they are under separate control. |
 | | By contrast, cortisol synthesis and secretion is regulated by adrenocorticotrophic hormone (ACTH), which stimulates the enzyme P-450scc (20,22 desmolase) with subsequent increased production of all adrenal steroids in both the zona fasciculata and the zona reticularis (see Image 1). |
| www.emedicine.com /ped/byname/3-beta-hydroxysteroid-dehydrogenase-deficiency.htm (598 words) |
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