case of hypertension secondary to 17 hydroxylase deficiency- A first in Oman?

ABSTRACT

Haas was a sixteen-year old phenotypic female with a history of severe hypertension of many years' duration and primary amenorrhoea. On examination, she was found to have clitoromegaly and there was no axial hair growth or breast development. Ultrasound revealed a hypoplastic uterus and no ovaries. The karyotype was 46 XY. She was investigated for congenital adrenal hyperplasia [CAH] and was diagnosed as being 17 hydroxylase/17,20 lyase deficient on the basis of clinical and biochemical findings: