Testicular adrenal-like tissue (TALT) have been observed in patients w
ith congenital adrenal hyperplasia, and is usually associated with 21-
hydroxylase deficiency; in 3 cases with 11beta-hydroxylase deficiency.
We report a case of male pseudohermaphroditism with 17alpha-hydroxyla
se deficiency (17OHD) who also had TALT. To our knowledge, this is the
first report about the association of 17OHD and TALT. Also, the patie
nt had high levels of serum aldosterone - an unusual finding in patien
ts with 17OHD. A possible pathogenic mechanism is discussed.