Atypical Presentation of Testicular Adrenal Rest Tumor (TART) Leading to Bilateral Partial Orchiectomy in a 31-Year-Old Adult Revealing Primary Adrenal Insufficiency with CYP11A1 Deficiency

Table 1

Hormone profiles of the 31-year-old male patient harboring compound heterozygous mutations in the CYP11A1 gene.

Hormone	Unit	Result	Normal range
Cortisol	nmol/L	72	110.7–609.2
ACTH	pg/ml	>1250	10–60
Total testosterone	nmol/L	7.9	6–27
Free testosterone	pmolL	14.2	28.8–139
Estradiol	pmol/L	92	33–228
SHBG	nmol/L	48.83	14.5–48.4
FSH	UI/L	74	1.3–9.2
LH	UI/L	31.9	1.2–8.6
Delta 4 androstenedione	ng/ml	0.24	0.5–3.5
Dehydroepiandrosterone sulfate	ng/ml	497	1600–4490
Progesterone	nmol/L	0.8	<0.64
17-Hydroxyprogesterone	nmol/L	0.79	1.81–6.6
Pregnenolone	nmol/L	0.32	0.6–1.9
17-Hydroxypregnenolone	nmol/L	0.6	1.8–10.2
11-Deoxycortisol	nmol/L	0.29	0.6–3.2
11-Deoxycorticosterone	pmol/L	191	121–514
Corticosterone	nmol/L	5.8	5.7–23
Aldosterone	pmo/L	180	117–580
Active renin	mUI/L	18.54	<36