Adrenocortical Hypofunction, Chronic Primary Congenital
Chuandi et al. (1985) reported a Chinese kindred in which persons in 3 generations, and by implication at least 1 person in a fourth earlier generation, had chronic adrenal insufficiency. This was manifest by hyperpigmentation, hypernatriuria, hypokaliuria, and decreased plasma total cortisol and urine free cortisol; PTC, UFC and 17-OHCS did not respond to ACTH stimulation. Eleven affected persons in 5 sibships were identified, including several instances of male-to-male transmission.