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Table 1 Urinary steroid ratios and the number of cases with an abnormal ratio

From: The pitfalls associated with urinary steroid metabolite ratios in children undergoing investigations for suspected disorders of steroid synthesis

Ratio

Cases analysed out of 93

Cases >95 th percentile

Cases of suspected steroid disorder with ratio >95 th percentile (% of those with ratio >95 th percentile)

Sensitivity

Specificity

Positive predictive value

Negative predictive value

17HP/(THE + THF + 5αTHF)

93 (100%)

18

4 (22%)

100%

84%

22%

100%

PT/(THE + THF + 5αTHF)

92 (99%)

16

4 (25%)

100%

86%

25%

100%

PTONE/(THE + THF + 5αTHF)

61 (65%)

11

5 (45%)

100%

89%

45%

100%

THS/(THE + THF + 5αTHF)

92 (99%)

23

4(17%)

100%

78%

17%

100%

DHEA/(THE + THF + 5αTHF)

90 (96%)

12

2 (17%)

100%

90%

17%

100%

(17HP + PT)/(An + Et)

85 (90%)

6

2 (33%)

100%

95%

33%

100%

(THF + 5αTHF)/THE

93 (100%)

7

1 (14%)

100%

93%

14%

100%

THE/(THF + 5αTHF)

93 (100%)

9

1 (11%)

100%

91%

11%

100%

(An + Et)/(THE + THF + 5αTHF)

89 (95%)

6

1 (17%)

100%

94%

17%

100%

Et/An

84 (89%)

6

2 (33%)

100%

95%

33%

100%

THF/5αTHF

93 (100%)

10

2 (20%)

100%

91%

20%

100%

THB/5αTHB

86 (91%)

6

1 (17%)

100%

94%

17%

100%

  1. 17HP: 17-hydroxypregnanolone, PT: pregnanetriol, THE: tetrahydrocortisone, THF: tetrahydrocortisol. 5αTHF: 5a-tetrahydrocortisol. An:androsterone. Et: etiocholanolone. DHEA: dehydroepiandrosteroone. PTONE: pregnanetriolone. THS: tetrahydro-11-deoxycortisol. THS: tetrahydro-11-deoxycortisol. THB: tetrahydrocorticosterone. 5αTHB: 5α-tetrahydrocorticosterone.