ELI5: Explain Like I'm 5

Isolated 17,20-lyase deficiency

Alright, so imagine that our bodies are like big machines with lots of different parts that work together to make everything run smoothly. One part of our body is called the adrenal glands, and they have a really important job. They make a bunch of different chemicals called hormones that help with things like growing, developing, and staying healthy.

Now, there's one hormone that the adrenal glands make called cortisol. Cortisol helps us deal with stress and keeps our bodies working properly. But the adrenal glands also make another hormone called androgens. Androgens are like little messengers that tell our body to do certain things, like make our muscles and bones grow.

Normally, our bodies have a special enzyme called 17,20-lyase that helps convert the androgens into other important hormones called estrogens. Estrogens help us develop secondary sexual characteristics like breasts and pubic hair. But sometimes, our bodies don't make enough of this enzyme, and that can cause a problem. This is called isolated 17,20-lyase deficiency.

So, when someone has isolated 17,20-lyase deficiency, their adrenal glands don't have enough of the enzyme to properly convert the androgens into estrogens. This means that their body might not develop the way it should during puberty. Boys might not grow taller or develop muscles and have a deeper voice, and girls might not develop breasts or start their periods. This can make them feel different from other kids their age.

But that's not all. Because the androgens aren't being converted into estrogens, they can build up in the body. This can cause some other symptoms like having excess hair growth on the face and body, or even having high blood pressure. It can also affect the development of the reproductive organs, like the testes in boys or the uterus and ovaries in girls.

But don't worry, there are ways to help people with isolated 17,20-lyase deficiency. Doctors can give them special medicines to replace the missing hormones and help their bodies develop the way they should. They might also need to see a specialist called an endocrinologist, who knows all about hormones and how they work.

So, even though having isolated 17,20-lyase deficiency might make someone feel a little different, there are ways to manage it and help them live a happy and healthy life!