title: Congenital adrenal hypoplasia in a male with gonadotropin deficiency.
abstract: We report the case of a boy with adrenal insufficiency diagnosed at the age of 2.5 months. He required immediate therapy with corticosteroids. His two brothers and a cousin died in infancy with vomiting and dehydration. Aged 17.5 years (bone age 13 years), he showed no signs of puberty, a testicular volume of 2 ml, an infantile penis, and no axillary or pubic hair. There was no evidence of a pubertal growth spurt. The low plasma levels of cortisol, 17-OHP, delta-4-A, LH and FSH did not increase after stimulation with ACTH or LHRH respectively. Urinary testosterone levels before and after HCG were extremely low. These factors strongly suggest the diagnosis of a sex-linked type of adrenal insufficiency (cytomegalic form), associated with gonadotropin deficiency.
mesh_terms: D000293:Adolescent; D000309:Adrenal Insufficiency / Q000151:congenital* / Q000235:genetics; D008040:Genetic Linkage; D006062:Gonadotropins / Q000172:deficiency*; D006128:Growth; D006801:Humans; D008297:Male; D010375:Pedigree
chemical_list: D006062:Gonadotropins