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.