The Teaching Point

Congenital adrenal hyperplasia (CAH) is a metabolic disease with imaging manifestations in various organ systems. When bilateral diffuse adrenal enlargement is seen in combination with presence of a uterus in a phenotypic male, the only unifying diagnosis is CAH in a female. Do not be surprised if a prostate gland is seen.






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From the manuscript

Prostate gland development and adrenal tumor in a female with congenital adrenal hyperplasia: A case report and review from radiology perspective

Free full text article: Prostate gland development and adrenal tumor  in a female with congenital adrenal hyperplasia:  A case report and review from radiology perspective

Abstract
We describe a case of a female with simple virilizing congenital adrenal hyperplasia (CAH) reared as a male diagnosed at the late age of 64. Computed Tomography (CT) demonstrated a large adrenal mass, bilateral diffuse adrenal enlargement, female pelvic organs as well as a clearly visualized prostate gland. This is to the best of our knowledge the first case of such a sizable prostate gland in a female CAH patient documented on CT. We review the literature regarding aspects where radiologists may encounter CAH and the finding of presence of a prostate gland in female CAH patients.






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