Hirsutizm ile gelen geç başlangıçlı konjenital adrenal hiperplazi

Year 2017, Volume: 9 Issue: 2, 92 - 94, 02.03.2017

Engin Eren Kavak Serkan Tursun Şenay Arıkan Durmaz Aydın Çifci

https://doi.org/10.21601/ortadogutipdergisi.293211

Abstract

Konjenital
adrenal hiperplazi (KAH) adolesan dönemden sonra daha az görülmektedir ve bu geç
başlangıçlı olan vakalar daha çok oligomenore ve hirsutizm nedeniyle
araştırılırken tanı almaktadırlar. Özellikle polikistik over sendromu nedeniyle
poliklinikte araştırılan kadın hastalarda bu tanının da göz önünde
bulundurulmasına dikkat edilmelidir.

Keywords

konjenital adrenal hiperplazi, hirsutizm, polikistik over sendromu

Late onset congenital adrenal hyperplasia with incoming hirsutism

Abstract

Congenital
adrenal hyperplasia (CAH) are less frequent after the adolescent period and late-onset cases
that are mostly diagnosed
in the course of investigating for oligomenorhea and hirsutism. Female patients
who evaluated in the clinics for especially polycystic ovary syndrome should be
taken into account this diagnosis in with consideration.

Keywords

congenital adrenal hyperplasia, hirsutism, polycystic ovary syndrome

References

• Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison’s Principles of Internal Medicine. 17th ed. New York: McGraw-Hill; 2013.
• Yılmaz-Ağladıoğlu S, Savaş-Erdeve Ş, Boduroğlu E, Önder A, Karaman İ, Çetinkaya S, Aycan Z. A Girl with Steroid Cell Ovarian Tumor Misdiagnosed as Non-Classical Congenital Adrenal Hyperplasia. The Turkish Journal of Pediatrics 2013; 55: 443-446.
• Salim S, Shantha GP, Patel AD, et al. Virilizing ovarian steroid cell tumor in a 40 year old South Indian female: a case report. Cases J 2009; 2: 7521.
• Stephens JW, Katz JR, McDermott N, et al. An unusual steroid-producing ovarian tumour: case report. Hum Repro 2002; 17: 1468-1471.
• Erdogan E, Pabuccu R, Ertek S, Israel S, Yilmaz B, Yilmaz H, Caglar G. Late-onset Congenital Adrenal Hyperplasia with Cushing Syndrome. Intern Med 53: 1955-1959, 2014 (DOI: 10.2169/ internalmedicine. 53.0654).
• Pang S. Congenital adrenal hyperplasia. Endocrinol Metab Clin North Am 26: 853-891, 1997.
• Chrousos GP, Loriaux DL, Mann DL, Cutler GB Jr. Late-onset 21-hydroxylase deficiency mimicking idiopatic hirsutism or polycystic ovarian disease. Ann Intern Med 96: 143-148, 1982.
• Yarman S, Dursun A, Oguz F, Alagol F. 2004 The prevalence, molecular analysis and HLA typing of late-onset 21-hydroxylase deficiency in Turkish woman with hirsutism and polycystic ovary. Endocr J 51: 31-36, 2004.
• Unluhizarci K, Kula M, Dundar M. The prevalence of non-classic adrenal hyperplasia among Turkish women with hyperandrogenism. Gynecol Endocrinol 26: 139-143, 2010.
• Gupta P, Goyal S, Gonzalez-Mendoza LE, et al. Corticotropin independent Cushing syndrome in a child with an ovarian tumor misdiagnosed as nonclassic congenital adrenal hyperplasia. Endocr Pract 14: 875-879, 2008.
• Loh V, Krishnan B, Prentice M, Panahloo A, Seal L. Late onset congenital adrenal hyperplasia masquerading as subclinical Cushing’s syndrome. Endocrine Abstracts 19: 72, 2009.
• Patel Y. Lange Internal Medicine. Fifth ed. Canada: McGraw Hill;2011.