title: Adrenal scan in 17-alpha-hydroxylase deficiency: false indication of adrenal adenoma.
abstract: A patient who was thought to have testicular feminization syndrome and primary aldosteronism had an adrenal scan that suggested an adrenal adenoma. After later diagnosis of 17-alpha-hydroxylase deficiency, she was treated with glucocorticoids rather than surgery. Her clinical course and a repeat adrenal scan confirmed she did not have a tumor.
mesh_terms: D000236:Adenoma / Q000175:diagnosis*; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis*; D000311:Adrenal Glands / Q000000981:diagnostic imaging* / Q000187:drug effects; D000312:Adrenal Hyperplasia, Congenital; D013734:Androgen-Insensitivity Syndrome / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D006929:Hyperaldosteronism / Q000175:diagnosis; D006965:Hyperplasia / Q000175:diagnosis; D007668:Kidney / Q000000981:diagnostic imaging; D004369:Pentetic Acid; D011877:Radionuclide Imaging; D013250:Steroid Hydroxylases / Q000172:deficiency*; D013667:Technetium; D016284:Technetium Tc 99m Pentetate
chemical_list: D005938:Glucocorticoids; D013667:Technetium; D004369:Pentetic Acid; D013250:Steroid Hydroxylases; D016284:Technetium Tc 99m Pentetate