<prompt> Answer this question truthfullyWhat is the underlying physiological process that leads to adrenal atrophy?  <response>: <reason> The development of adrenal atrophy is the result of multiple genetic and environmental factors, as discussed above. However, the congenital adrenal hyperplasia, a form of adrenal hypotrophy is known as a result of the mutation on the following genes:An X-linked gene, NROB1, encoding DAX-1 protein The steroidogenic factor 1 SF-1 gene, encoded on the 9q33 lociThe autosomal recessive ACTH resistance syndromes such as triple-A syndrome and familial glucocorticoid deficiency, are among other genetics disorders yielding to adrenal atrophy. 