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.
Toh
Vivien K L
VK
Department of Medicine, Sarawak General Hospital, Jalan Tun Ahmad Zaidi Adruce, 93586 Kuching, Sarawak, Malaysia. vkltoh@yahoo.com
Yung
C H
CH
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