A young woman with hypogonadism, hypertension and hypokalaemia.
We report a case of a 16 years old girl who presented sequentially with primary amenorrhoea, hypertension and hypokalaemia. Eight years later, she was finally diagnosed with 17alpha-hydroxylase deficiency congenital adrenal hyperplasia. Previous antihypertensive medications were stopped. Hydrocortisone alone successfully maintained normotension and normokalaemia.
Department of Medicine, Sarawak General Hospital, Jalan Tun Ahmad Zaidi Adruce, 93586 Kuching, Sarawak, Malaysia. vkltoh@yahoo.com
Vivien K L
VK
Toh
C H
CH
Yung
D000293:Adolescent; D000312:Adrenal Hyperplasia, Congenital / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007006:Hypogonadism / Q000209:etiology; D007008:Hypokalemia / Q000209:etiology; D013250:Steroid Hydroxylases / Q000172:deficiency*
D013250:Steroid Hydroxylases