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Buffer-washed tissue (50 to 100 mg) was suspended in medium containing 1 β - 3 -H-androstenedione and incubated for 18 h. Aromatase activity is expressed as counts per minute of 3 H released per milligram of tissue per hour ( Thompson and Siiteri, 1974a ). Bars indicate SD. Older patients with mild defects in 3-beta–hydroxysteroid dehydrogenase activity (late-onset or nonclassic variant) may present with premature pubic hair development, hirsutism, irregular menstrual cycles or primary amenorrhea. Prognosis is usually good-to-excellent with adequate replacement (as needed) of glucocorticoids, mineralocorticoid, and sex steroid therapy, monitoring and follow-up. Anatomically, the adrenal gland can be divided into 3 zones, (1) the zona glomerulosa, which predominately produces mineralocorticoid, (2) the zona fasciculata, which predominately produces glucocorticoid, and (3) the zona reticularis, which predominantly produces androgens.

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