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Congenital Adrenal Hyperplasia and Pseudotumor Cerebri

Obiora Ogbuawa, MB; Pauline Y. Titus-Dillon, MD
Arch Intern Med. 1979;139(1):120. doi:10.1001/archinte.1979.03630380096033.
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To the Editor.—  Review of the previous medical literature disclosed no case of congenital adrenal hyperplasia with pseudotumor cerebri. We herein present such a case.

Report of a Case.—  A 44-year-old woman presented with a four-week history of progressively severe headache, blurred vision, diplopia, and vomiting. She had a 12-year history of hypertension and diabetes mellitus, with a family history for both disorders. Despite continual increase in libido, only one pregnancy occurred 29 years ago. Hirsutism and premenstrual abdominal pain with vomiting have been noted sinced 1958. In 1972, a left tuboovarian abscess was excised. She had previously received psychiatric treatment for depression.Physical examination revealed truncal obesity, facial rounding, and hirsutism. The blood pressure was 180/100 mm Hg.She had frontal hair recession, acne of the face and back, broad shoulders, well-developed breasts, and increased muscle mass of the lower extremities. The pelvis was android, and the clitoris slightly

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