Congenital adrenal hyperplasia

Alternative names:

adrenogenital syndrome

Treatment:

The goal of treatment is to return the androgen hormone levels to normal. This is achieved by daily administration of dexamethasone, fludrocortisone, or hydrocortisone. The gender of a baby with ambiguous genitalia is determined by examination of the chromosomes (karyotyping). Reconstructive surgery for girls with masculine external genitalia is usually performed between the ages of 1 and 3, and can correct the abnormal appearance.

Parents of children with this disorder need instruction on the side effects of steroid therapy. They should report signs of infection and stress to their health care provider because increases in medication may be required. In addition, steroid medications cannot be stopped suddenly, or adrenal insufficiency will result.

Expectations (prognosis):

Medication to treat this disorder must be continued for life. The outcome is usually good with treatment.

Complications:

• hyponatremia and shock (newborn only)
• side effects of corticosteroids
• adrenal crisis

Calling your health care provider:

Call for an appointment with your health care provider if your child develops symptoms of this disorder.

Also, if you had a child with this disorder and you plan to have other children, you should discuss this with your health care provider.