Congenital Adrenal Hyperplasia

Congenital Adrenal Hyperplasia (CAH) is a genetic syndrome associated with lack of an enzyme in the adrenal hormone production pathway. There are various types of CAH. In the most common type of CAH, the girl child will present with an ambiguous genitalia (male looking) at birth. The male child will have a normal genitalia. Since the adrenal gland is involved in managing blood pressure, sodium and potassium, these children may have low blood pressure, high potassium and low sodium. As the child grows, the child may develop pubic hair and faster gain in height. These children can go into occasional episodes of low blood pressure and need to be followed up closely. They are treated with steroids and these need to be carefully adjusted. Inappropriately treated children may turn out to be short. Appropriately timed surgeries will need to be done for genital correction.

How can we help you?

  1. Arrive at an early diagnosis
  2. Genetic testing for deciding the type of CAH
  3. Monitor growth velocity
  4. Appropriate dosing of steroids
  5. Counselling parents regarding surgery