Rare cause of a resistant hypertension in a middle‐aged man: A case report

Abstract

Abstract Congenital adrenal hyperplasia associated to 11‐beta‐hydroxylase deficiency is a rare cause of secondary hypertension, usually discovered during childhood; however, a late diagnosis in adults has also been reported. Despite low cortisol levels, accumulated adrenal steroid precursors can activate the glucocorticoid receptor and thus protect the patient against adrenal crisis.

Keywords

• 11‐b‐hydroxylase deficiency
• congenital adrenal hyperplasia
• secondary hypertension
• testicular adrenal rest tumors