AUTHOR=Peng Cheng , Sun Guoyu , Tang Zezhong , Hou Xinlin TITLE=Congenital Isolated ACTH Deficiency Caused by TBX19 Gene Mutation: A Family Report JOURNAL=Frontiers in Pediatrics VOLUME=7 YEAR=2020 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2019.00546 DOI=10.3389/fped.2019.00546 ISSN=2296-2360 ABSTRACT=

Congenital isolated adrenocorticotropic hormone deficiency (CIAD) is a rare disorder that may be conducive to hypoglycemia, cholestasis, and seizures. We reported on two siblings with a homozygous mutation of the TBX19 gene, C.377 (exon2) C>T, p. P126L. Their parents had heterozygous mutations on the same locus. Glucocorticoid supplementary therapy was effective, but the treatment became delayed due to inaccessibility, which resulted in entirely different clinical outcomes for the siblings. The older brother developed subdural hematoma, intractable epilepsy, and developmental delays. In contrast, the younger sister received timely glucocorticoid replacement therapy and had no long-term complications while maintaining a good quality of life. In summary, when CIAD is confirmed, early intervention is essential to achieve the optimal outcome.