NON-CLASSICAL CONGENITAL ADRENAL HYPERPLASIA WITH INCIDENTAL ADRENAL ADENOMA: A CASE REPORT

Abstract

A 33 years old female was referred to endocrinology clinic of Jinnah hospital, Lahore for the
assessment of hirsutism and secondary amenorrhea. Her Ferriman-Gallwey scale for hirsutism was
29; however, there was no clitoromegaly or genital ambiguity. She had already undergone CECT of
adrenals glands by her physician which was suggestive of bilateral adrenal enlargement with small
right adrenal tumor. Her 17-hydroxy progesterone levels were raised on ACTH stimulation testing.
An initial diagnosis of adrenal hyperlpasia (NCCAH) in association with adrenal incidentiloma was
made and patient showed a good response to prednisolone in close follow up.