hrp0098p2-21 | Adrenals and HPA Axis | ESPE2024

Should we routinely screen for adrenal rests in Congenital Adrenal hyperplasia?

Alkhalaf Abeer , Babiker Amir , Alsubaie Abdullah , Almutair Angham , Alalwan Ibrahim

Testicular adrenal rest tumors (TARTs) may develop in some patients with congenital adrenal hyperplasia (CAH), probably from overstimulation of adrenocorticotrophic hormone (ACTH) to remnants of intra-testicular adrenal tissue. TARTs can lead to structural testicular damage and infertility. Although rare, they may occur when CAH patients are non-compliant with glucocorticoid therapy. Due to their deep-sited location, usually only TARTs of more than 2 cm are palpable, hence, th...