Left ventricular failure due to a rare variant of congenital adrenal hyperplasia.

Abstract:

:"Hypertensive" variant of congenital adrenal hyperplasia is rare. The authors describe an interesting case of a 6-y-old boy who presented with an acute respiratory illness and progressive breathlessness since 1 y. Genital hyperpigmentation was noticed since 2 y of age; the onset of pubarche and increasing penile size at 4 y. He was admitted in congestive cardiac failure with a blood pressure of 150/100 mm Hg. Facial acne; slight facial, pubic hair and penile enlargement were additionally noted. Chest radiograph revealed cardiomegaly. Basal ACTH and 17-OHP levels were high. A diagnosis of congenital adrenal hyperplasia (11β-hydroxylase deficiency) was made due to hypertension with virilized genitalia. Cardiac failure was controlled with fluid restriction and diuretics; he was started on prednisolone, spironolactone and nifedipine. This case is presented for its rarity where hypertension can cause complication of cardiac failure, if diagnosis is delayed despite early features of pseudoprecocious puberty.

journal_name

Indian J Pediatr

authors

Bhatia S,Muranjan MN,Lahiri KR

doi

10.1007/s12098-011-0649-9

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1241-3

issue

9

eissn

0019-5456

issn

0973-7693

journal_volume

79

pub_type

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