Case report
Miss K.A. was assigned to our endocrinology department for the first
time at the age of 42 years. She had a newly discovered hypertension
associated with severe hypokalemia, which were found during her stay in
the dermatology department for erysipelas. Otherwise, she had primary
amenorrhea for which she never consulted. As for her family history, we
report neonatal death in two of her siblings and four of her cousins.
Her brother had hypertension and type 2 diabetes.
On physical examination, she weighed 75 kilograms and her height was
1.82 meters. She had non-complicated grade 3 hypertension: 200/100 mmHg.
Her neurological exam was abnormal as she had brisk reflexes of herknee
tendon. The osteoarticular examination revealed irreducible flexum of
her left elbow, reducible cubital deviation of her left hand and
ankylosed left ankle (figure 1). Regarding her gynecological
examination, it showed feminine genitalia with no ambiguityand no
hyperandrogenic features. Her Tanner score was therefore S1P1A1. Her EKG
disclosed electric signs of hypokalemia: diffuse depressed ST segment
and U waves.