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A hypopituitarrium that is characterized by a decreased or absent production of adrenocorticotropic hormone by the pituitary gland.
Features include always present findings: Decreased circulating cortisol level, Neonatal hypoglycemia, and Adrenocorticotropin deficient adrenal insufficiency; and very common findings: Adrenal hypoplasia, Hypotension, Hyponatremia, and Fatigue. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 4 | Cholestasis, Jaundice, Prolonged neonatal jaundice |
TBX19 function has not been fully characterized.
Congenital isolated adrenocorticotropic hormone deficiency is associated with mutations in the TBX19 gene on chromosome 1.
Genetic testing for TBX19 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital isolated adrenocorticotropic hormone deficiency has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 4 very common features, 2 common features.
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
50 publications have been identified in PubMed for congenital isolated adrenocorticotropic hormone deficiency. Research spans Case Report / Case Series (48%), Review / Meta-Analysis (24%), and Epidemiology / Natural History (12%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 24 |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 8:28 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Hormones |
3 |
Decreased circulating cortisol level, Adrenal hypoplasia, Adrenocorticotropin deficient adrenal insufficiency |
Brain and nerves | 3 | Seizure, Fatigue, Hypoglycemic seizures |
Pregnancy and birth | 2 | Neonatal hypoglycemia, Prolonged neonatal jaundice |
Lab test results | 1 | Decreased circulating cortisol level |
Research summaries | 12 | 24% |
Disease patterns and progression | 6 | 12% |
Clinical study results | 3 | 6% |
Other research | 2 | 4% |
Testing and diagnosis research | 2 | 4% |
Laboratory research | 1 | 2% |
Sakurai A (2026). [PMID: 41699761](https://pubmed.ncbi.nlm.nih.gov/41699761/). *Eur J Endocrinol*. [Review / Meta-Analysis]
Peng L (2026). [PMID: 41129102](https://pubmed.ncbi.nlm.nih.gov/41129102/). *J Immunother*. [Case Report / Case Series]
Shi L (2026). [PMID: 42087875](https://pubmed.ncbi.nlm.nih.gov/42087875/). *Front Endocrinol (Lausanne)*. [Review / Meta-Analysis]
Izuchi T (2026). [PMID: 41704485](https://pubmed.ncbi.nlm.nih.gov/41704485/). *Front Endocrinol (Lausanne)*. [Epidemiology / Natural History]
Nanao Y (2026). [PMID: 41536580](https://pubmed.ncbi.nlm.nih.gov/41536580/). *Diabetol Int*. [Case Report / Case Series]
Kizilcan Cetin S (2026). [PMID: 40990269](https://pubmed.ncbi.nlm.nih.gov/40990269/). *J Pediatr Endocrinol Metab*. [Review / Meta-Analysis]
Watanabe M (2026). [PMID: 42068444](https://pubmed.ncbi.nlm.nih.gov/42068444/). *Endocrine*. [Case Report / Case Series]
Sumida R (2026). [PMID: 41789019](https://pubmed.ncbi.nlm.nih.gov/41789019/). *J Cardiol Cases*. [Case Report / Case Series]
Eisa N (2026). [PMID: 41980799](https://pubmed.ncbi.nlm.nih.gov/41980799/). *BMJ Case Rep*. [Case Report / Case Series]
Morgante C (2026). [PMID: 39761666](https://pubmed.ncbi.nlm.nih.gov/39761666/). *Horm Res Paediatr*. [Diagnostic / Biomarker]