Publications by authors named "Ilknur Kurt"

Background: Hereditary hypophosphatemia (HH), is a rare condition related to decreased renal tubular phosphate reabsorption. Although X-linked hypophosphatemia or PHEX gene variant is the most frequent cause of HH, recent advances in next-generation sequencing (NGS) techniques enable the identification of genetic etiologies as a whole.

Objective: To identify genetic causes of HH using various genetic testing methods and to compare clinical features between FGF23-dependent and FGF23-independent HH groups.

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17α‑hydroxylase/17,20‑lyase deficiency (17OHD) is a rare form of congenital adrenal hyperplasia that causes decreased cortisol and sex steroid levels and leads to high production of adrenocorticotropic hormone (ACTH). Although affected patients have absolute cortisol deficiency, they do not show clinical signs of cortisol deficiency or hyperpigmentation. These patients most commonly present with delayed puberty and amenorrhea at late pubertal age.

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Article Synopsis
  • - Newborn screening (NBS) primarily detects congenital adrenal hyperplasia (CAH), but its effectiveness for non-CAH primary adrenal insufficiency (non-CAH PAI) is less understood, as shown in a study examining cases from 2022.
  • - Six neonates with non-CAH PAI exhibited severe symptoms like hyperpigmentation and hypoglycemia, yet all had normal NBS results, highlighting a significant oversight in detection.
  • - The study emphasizes that clinicians must remain vigilant for adrenal insufficiency signs in neonates, regardless of normal NBS outcomes, to avoid delays in diagnosis and treatment.
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