Testicular adrenal rest cells in congenital adrenal hyperplasia

Adnan Haider, MD; Oksana Symczyk, MD; Alexandra Hardy, MD; Anusha Kothapalli, MD

Journal of Clinical and Translational Endocrinology Case Reports (Dec 2021)

Testicular adrenal rest cells in congenital adrenal hyperplasia

Adnan Haider, MD,
Oksana Symczyk, MD,
Alexandra Hardy, MD,
Anusha Kothapalli, MD

Affiliations

Adnan Haider, MD: Department of Endocrinology, Department of Medicine, West Virginia University, Address: 600 Suncrest Towne Center Drive, Morgantown, WV, 26505, USA; Corresponding author.
Oksana Symczyk, MD: Department of Endocrinology, Department of Medicine, West Virginia University, Address: 600 Suncrest Towne Center Drive, Morgantown, WV, 26505, USA
Alexandra Hardy, MD: Medical Resident Department of Internal Medicine, West Virginia University, Address: 1 Medical Center Dr, Morgantown, West Virginia, USA
Anusha Kothapalli, MD: Medical Resident Department of Internal Medicine, UMMS-Baystate, Baystate Medical Center, Address: 759 Chestnut St, Springfield, MA, USA

Journal volume & issue: Vol. 22
p. 100103

Abstract

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Abstract: We present a case of untreated Congenital adrenal hyperplasia presenting with bilateral giant Adrenal myelolipoma and Testicular adrenal rest cells. Methods: We discuss clinical presentation diagnostic evaluation and subsequent management and follow up of CAH with TART's. Results: Our patient was not adherent to Glucorticoid and mineralocorticoid treatments between age 18 to 47 and presented with back pain most likely resulting from Bilateral giant adrenal myelolipoma. Interestingly he did not require any stress steroids during this time. His adrenal myelolipoma progressively increased in size. Comparison CT is available from 2004 to 2020. Testicular adrenal rest cells and possibly infertility also resulted from uncontrolled CAH for a long period of time. Conclusion: This case demonstrates the significance of CAH treatment compliance and highlights sequela and management of untreated CAH.

Published in Journal of Clinical and Translational Endocrinology Case Reports

ISSN: 2214-6245 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the endocrine glands. Clinical endocrinology
Website: https://www.journals.elsevier.com/journal-of-clinical-and-translational-endocrinology-case-reports/

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Abstract

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