Classic congenital adrenal hyperplasia with virilisation and salt-wasting: from birth to the adult life
Iavazzo, C.; Myriokefalitaki, E.; Ntziora, F.; Bozemberg, T.; Baskozos, I.; Papargyriou, T.; Paschalinopoulos, D.
Bratislavske Lekarske Listy 112(11): 651-652
2011
ISSN/ISBN: 0006-9248 PMID: 22180995 Document Number: 651331
Our objective was to show the way the classic CAH presents after birth as a severe condition and develops to the adult life, effecting growth, height and weight, appearance, fertility, relationships and quality of life. We report the case of a 23-years-old female with the classic Congenital Adrenal Hyperplasia (CAH) from birth, diagnosed due to genital pigmentation, clitoromegaly and salt-wasting crisis, treated with glucocorticoid replacement (hydrocortisone, fludrocortisone and NaCI), followed by genital surgery, until the adult life when she continues treatment with fludrocortisone and prednisolone. A treatment challenge is to effectively control the excess androgen symptoms by using the lowest possible glucocorticoid dose. Patients well-being can be accomplished by team work, adapted therapy, continues follow-up and patient's compliance (Ref. 15).