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Of mice and men: the evolving phenotype of aromatase deficiency.
[aromatase deficiency]
We
are
rapidly
becoming
aware
of
the
importance
of
estrogen
in
maintaining
virtually
all
facets
of
male
health
.
In
order
for
estrogens
to
be
synthesized
endogenously
,
the
enzyme
responsible
for
their
synthesis
from
androgens
,
aromatase
,
must
be
functional
.
The
seven
known
men
in
whom
aromatase
is
nonfunctional
all
have
a
mutation
in
either
exon
V
or
IX
of
the
CYP
19
gene
,
which
encodes
aromatase
.
Collectively
,
these
men
are
reported
to
have
undetectable
estrogen
;
normal
to
high
levels
of
testosterone
and
gonadotropins
;
tall
stature
with
delayed
skeletal
maturation
and
epiphyseal
closure
;
osteoporosis
;
impaired
lipid
and
insulin
metabolism
;
and
impaired
reproductive
function
.
The
aromatase
knockout
mouse
presents
with
a
phenotype
that
is
similar
in
many
aspects
and
provides
a
valuable
tool
with
which
to
examine
and
manipulate
the
actions
of
estrogen
.
By
studying
the
naturally
occurring
aromatase-
deficient
humans
,
together
with
studies
of
the
aromatase-knockout
mouse
,
we
are
expanding
our
understanding
of
the
essential
role
of
estrogen
in
male
physiology
.
Diseases
Validation
Diseases presenting
"high levels"
symptom
22q11.2 deletion syndrome
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aromatase deficiency
cadasil
canavan disease
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
erythropoietic protoporphyria
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
kabuki syndrome
kallmann syndrome
liposarcoma
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
scrub typhus
severe combined immunodeficiency
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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