An 18-year-old female presents with a 2-month history of oligomenorrhea and patchy areas of thinning hair. | Medibuddy
15th April 2024

An 18-year-old female presents with a 2-month history of oligomenorrhea and patchy areas of thinning hair.

An 18-year-old female presents with a 2-month history of oligomenorrhea and patchy areas of thinning hair. On questioning, she alludes to recovering from the flu over the last week. Blood tests show the following:

Total testosterone (15 to 70 ng/dL) 113
Androstenedione Elevated
17-hydroxyprogesterone Elevated

 

TSH (0.5-5.5 mu/L) 9.8
Free T4 (9-18 pmol/L) 22
T3 (80-220 ng/dL) 216

Excluding PCOS, which other condition is the most likely cause of the patient’s presentation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.

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