PITUITARY ENLARGEMENT IN THE FOLLOW-UP OF A PATIENT WITH CONGENITAL ADRENAL-HYPERPLASIA

The aim of the suppression of pituitary adrenal axis in the management of patients with congenital adrenal hyperplasia is to reduce the hype rsecretion of adrenal androgens. However the local consequences of the hyperreactivity of corticotropin cells during inadequate therapy is n ot well defined. In this case report, we present the observation of a 28-year-old patient with congenital adrenal hyperplasia with inadequat e treatment in whom a pituitary enlargement was detected after MR imag ing for headaches. This observation underlines the need for a pituitar y follow-up in these specific patients.