%0 Case Reports
%T [Primary Generalized Glucocorticoid Resistance: a case report].
%A Larina II
%A Makazan NV
%A Ivashchenko KV
%A Platonova NM
%A Orlova EM
%A Kareva MA
%A Sozaeva LS
%A Yukina MY
%A Tulpakov AN
%A Dukhanin AS
%A Shimanovskii NL
%A Troshina EA
%J Probl Endokrinol (Mosk)
%V 70
%N 1
%D 2024 Feb 28
%M 38433539
暂无%R 10.14341/probl13321
%X Primary glucocorticoid resistance (OMIM 615962) is a rare endocrinologic condition caused by resistance of the human glucocorticoid receptor (hGR) to glucocorticoids (GR) and characterised by general or partial insensitivity of target organs to GK. Compensatory activation of hypothalamic-pituitary-andrenal axis results in development of a various pathological conditions caused by overstimulation of adrenal glands. Clinical spectrum may range from asymptomatic cases to severe cases of mineralocorticoid and/or androgen excess. At present time, primary generalized glucocorticoid resistance has been exclusively associated with defects in the NR3C1 gene. Here, we present a case report of an adolescent patient with clinical presentation of glucocorticoid resistance confirmed by detailed endocrinologic evaluation but no confirmed mutations in the NR3C1 gene.