4 CONCLUSIONS
The 11βOH deficiency is a pediatric pathology, which can be rarely
diagnosed even in adulthood. The diagnosis can be delayed due to a poor
clinical presentation, especially in men, and the fact that the patients
with this form of congenital adrenal hyperplasia do not usually develop
adrenal crisis. Once the diagnosis was established, male patients should
be screened for testicular adrenal inclusions.
Despite the late diagnosis and the long evolution of arterial
hypertension, our patient had a good therapeutic response once the
glucocorticoid suppressive therapy was started, with a better control of
arterial pressure by monotherapy only, normalization of left ventricular
ejection fraction, normalization of ACTH, androgens and adrenal
precursors, but with only a minimal decrease in volume of the testicular
adrenal rest tumors.