Adrenocorticotropic hormone deficiency

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Adrenocorticotropic hormone deficiency
Other names: ACTH deficiency
Autosomal recessive is the manner in which this condition is inherited

Adrenocorticotropic hormone deficiency is a result of a decreased or absent production of adrenocorticotropic hormone (ACTH) by the pituitary gland.[1] It can be associated with TBX19.[2]

Signs and symptoms

Symptoms include weakness, hypoglycemia, weight loss and decreased axillary and pubic hair. It can be either isolated or part of a generalised pituitary dysfunction. It can be life-threatening if not recognised.[citation needed]


The congenital form of this condition has been traced to mutations of the T-box 19 gene [3]


L,r)Magnetic resonance imaging after the onset of isolated adrenocorticotropic hormone deficiency

It is usually diagnosed on basis of an ACTH or insulin tolerance test in combination with the clinical symptoms.[4]


Treatment is with hydrocortisone supplementation.[citation needed]

See also


  1. Drouin J, Bilodeau S, Vallette S (September 2007). "Of old and new diseases: genetics of pituitary ACTH excess (Cushing) and deficiency". Clin. Genet. 72 (3): 175–82. doi:10.1111/j.1399-0004.2007.00877.x. PMID 17718852. S2CID 25671033.
  2. Lamolet B, Pulichino AM, Lamonerie T, et al. (March 2001). "A pituitary cell-restricted T box factor, Tpit, activates POMC transcription in cooperation with Pitx homeoproteins". Cell. 104 (6): 849–59. doi:10.1016/S0092-8674(01)00282-3. PMID 11290323. S2CID 18054879.
  3. "ACTH Deficiency". NORD (National Organization for Rare Disorders). Archived from the original on 10 August 2021. Retrieved 1 July 2022.
  4. Cooper MS, Stewart PM (January 2005). "Diagnosis and treatment of ACTH deficiency". Rev Endocr Metab Disord. 6 (1): 47–54. doi:10.1007/s11154-005-5224-0. PMID 15711914. S2CID 27036419.

External links