Testicular adrenal rest tissue in congenital adrenal hyperplasia: The role of ultrasonography in the diagnosis and treatment follow-up

Congenital adrenal hyperplasia (CAH) results from an enzymatic defect in the biosynthetic pathway of adrenal steroids, mostly 21 hydroxilase. This enzyme deficiency results in reduced production of cortisol and the accumulation of hormonal precursors, some of which produce androgenic effects. In this case report, we aimed to present the ultrasonographic findings in a prepubertal boy manifesting with CAH and to emphasize the role of ultrasonography in the follow up of treatment.

Konjenital adrenal hiperplazide testiküler adrenal rest doku: Taný ve tedavinin takibinde ultrasonografinin yeri

Konjenital adrenal hiperplazi (KAH), adrenal steroidlerin yapýmýndaki enzimatik defcktdeýý, en sýk da 21- hidroksilaz enzim eksikliðinden kaynaklanýr. Bu enzim eksikliði azalmýþ kortizol yapýmýna ve hormon ara ürünlerinin birikmesi, and rojenik etkilere neden olur. Biz bu olgu bildirisinde, prepubertal dönemde manifest hale yelmiþ olan KAH‘ lý bir olgunun tanýsýndaki ultrasonografi bulgularýný sunmayý ve tedavinin takibinde ultrasonografinin önemli rolüne deðinmeyi amaçladýk.