A RARE CASE OF NON-CLASSICAL TYPE OF CONGENITAL ADRENAL HYPERPLASIA IN A 27-YEAR-OLD FEMALE.

Masab Ali, Muhammad Husnain Ahmad, Zaid Ashraf Mirza
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Abstract

This case report presents the case of a 27-year-old female patient with a complex clinical presentation, diagnosed with nonclassical congenital adrenal hyperplasia (NCCAH). The patient presented with a constellation of symptoms including hirsutism, acne, hyperpigmentation, amenorrhea, frontal baldness, and renal stones, posing diagnostic challenges. Comprehensive evaluation revealed NCCAH, emphasizing the importance of considering this condition in cases of hyperandrogenism. Treatment with oral dexamethasone and oral contraceptive pills resulted in gradual symptom improvement. This case underscores the necessity for thorough clinical assessment and awareness of NCCAH as a differential diagnosis in patients with hyperandrogenic symptoms.

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一例罕见的非典型性先天性肾上腺增生症,患者为27岁女性。
本病例报告提出的情况下,27岁的女性患者复杂的临床表现,诊断为非典型性先天性肾上腺增生(NCCAH)。患者表现出一系列症状,包括多毛、痤疮、色素沉着、闭经、额部秃顶和肾结石,给诊断带来了挑战。综合评估显示NCCAH,强调在雄激素过多的情况下考虑这种情况的重要性。口服地塞米松和口服避孕药治疗后症状逐渐改善。本病例强调了全面临床评估的必要性和对NCCAH作为高雄激素症状患者鉴别诊断的认识。
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