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A patient (46XX) with congenital adrenal hyperplasia and prostate cancer: A case report

  • Ruben Wesselius*
  • , Mirjam Schotman
  • , Martje Schotman
  • , Alberto M. Pereira
  • *Corresponding author for this work
  • Department of Urology
  • Meander Medical Center
  • Department of Urology
  • Leiden University
  • Department of Medicine

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Congenital adrenal hyperplasia (CAH) can affect sex characteristics. The most common cause of CAH is 21-hydroxylase deficiency, and the cornerstone of treatment is glucocorticoid replacement in adrenocorticotropic hormone-suppressive dosages. A 64-year-old patient (46XX) with CAH resulting from 21- hydroxylase deficiency had been treated with dexamethasone and testosterone since diagnosis at age 12 and was phenotypically male. At age 62, he was diagnosed with prostate carcinoma. The patient received curative treatment with external beam radiotherapy. Genotypically female patients with CAH can develop prostate carcinoma when receiving long-term testosterone replacement therapy.

Original languageEnglish
Pages (from-to)1213-1216
Number of pages4
JournalJournal of the Endocrine Society
Volume1
Issue number9
DOIs
Publication statusPublished - Sept 2017
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • 46XX
  • CAH
  • Prostate carcinoma
  • Testosterone replacement

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