Simple Virilization Type of Classic Congenital Adrenalhyperplasia: Case Report
I Made Pande Dwipayana1,2, Karismayusa Sudjana3, Siswadi Semadi1, Ketut Suastika1, Made Ratna Saraswati1 and Wira Gotera1

1Division of Endocrinology and Metabolism, DepartmentofInternal Medicine, Facultyof Medicine, Udayana University-Sanglah General Hospital Denpasar Bali.

2Doctoral Programme in Medical Science, Facultyof Medicine, Udayana University Denpasar Bali.

3Internal Medicine Programme, Facultyof Medicine, Udayana University-Sanglah General Hospital Denpasar Bali.

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Abstract: We have reported a case of 21 year old patient with congenital adrenal hyperplasia that manifestated with ambiguous genitalia and other signs of androgen excess. Chromosome analysis revealed 46 XX. Laboratory examination and imaging showed high level of 17-hydroxyprogesterone, undeveloped uterus, two ovaries with follicles, no testicles, no prostate, and mass at upper side of both kidney with irregular border confirmed the diagnosis. It was planned to give glucocorticoid therapy to the patient to suppress androgen level, genital reconstruction surgery and psychosexual therapy to reared as a woman, but she refused all suggestions because she wanted to be considered a man.

Keywords: Androgen excess, Congenital Adrenal Hyperplasia, Genital reconstruction, Glucocorticoid therapy

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