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.