A 22-year-old woman (previously adopted, not currently taking medications, negative medical history) presents with hypertension, with virilization. This young woman presents with irregular menses diagnosed with polycystic ovary syndrome. She has a borderline low cortisol and elevated 17-OH progesterone. Question: What is the diagnosis?
Hypertension is common and most often presents as an independent medical condition. Occasionally, hypertension is a result of an underlying illness and requires different treatment. Because adrenal function is critical for (1) blood pressure, (2) potassium, and (3) glucose homeostasis, an adrenal etiology should be considered in all patients with blood pressure problems accompanied by electrolyte abnormalities, unexplained change in weight, failure to thrive, inappropriate virilization, and anxiety periods. Eight different clinical scenarios are presented below. Each presentation is associated with a different diagnosis and treatment. A discussion of adrenal causes, diagnoses, and treatments for each is found within the chapter. Each numbered case study completes the following opening statement: A 22-year-old woman (previously adopted, not currently taking medications, negative medical history) presents with hypertension, with virilization. This young woman presents with irregular menses diagnosed with polycystic ovary syndrome. She has a borderline low cortisol and elevated 17-OH progesterone.
Question: What is the diagnosis?
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