Congenital Adrenal Hyperplasia Flashcards
1
Q
What is CAH?
A
Family of inherited enzyme deficiencies that impair normal corticosteroid synthesis in the adrenal cortex
2
Q
What is the most common enzyme deficiency?
A
21-hydroxylase
3
Q
What are the features of CAH?
A
Ambiguous genitalia
Salt wasting crisis
4
Q
What are features of a salt wasting crisis?
A
Poor feeding Weight loss / failure to thrive Vomiting Hypotension Hyponatraemia
5
Q
How is CAH managed?
A
Glucocorticoid replacement
+/- mineralocorticoid replacement