Congenital adrenal hyperplasia associated to 11-beta-hydroxylase deficiency is a rare cause of secondary hypertension, usually discovered during childhood; however, a late diagnosis in adults has also been reported. Despite low cortisol levels, accumulated adrenal steroid precursors can activate the glucocorticoid receptor and thus protect the patient against adrenal crisis.
Keywords: 11‐b‐hydroxylase deficiency; congenital adrenal hyperplasia; secondary hypertension; testicular adrenal rest tumors.
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