J Korean Soc Endocrinol.  2001 Feb;16(1):130-133.

A Case of Primary Amenorrhea due to 17 -Hydroxylase Deficiency

Affiliations
  • 1Department of Internal medicine, Inchon Christian Hospital, Inchon, Korea.
  • 2Division of Endocrinology, Department of Internal Medicine, Younsei University, college of Medicine, Seoul, Korea.
  • 3Department of Obstetrics and Gynecology, Samgsung Cheil Hospital & Women's Health Care Center, SungKyunKwan University, College of Medicine, Seoul, Korea.

Abstract

17 -Hydroxylase deficiency is a rare form of congenital adrenal hyperplasia that is characterized by primary amenorrhea, absence of secondary sex characteristics, hypertension, and a hypokalemic alkalosis that has resulted resulting from increased production of deoxycorticosterone and corticosterone by the adrenal. The diagnosis of this enzyme deficiency can be recognized by the increasing serum concentrations of steroid precursors, DOC and corticosterone and the decreasing concentrations of cortisol, and adrenal androgens. We diagnosed this in a 19 year old female who presented with primary amenorrhea. We report this case with a review of the literatures.


MeSH Terms

Adrenal Hyperplasia, Congenital
Alkalosis
Amenorrhea*
Androgens
Corticosterone
Desoxycorticosterone
Diagnosis
Female
Humans
Hydrocortisone
Hypertension
Sex Characteristics
Young Adult
Androgens
Corticosterone
Desoxycorticosterone
Hydrocortisone
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