Congenital Adrenal Hyperplasia Due To 21-hydroxylase Deficiency - Long-term Management of CAH

Long-term Management of CAH

Management of infants and children with CAH is complex and warrants long term care in a pediatric endocrine clinic. After the diagnosis is confirmed, and any salt-wasting crisis averted or reversed, major management issues include:

  1. Initiating and monitoring hormone replacement
  2. Stress coverage, crisis prevention, parental education
  3. Reconstructive surgery
  4. Optimizing growth
  5. Optimizing androgen suppression and fertility in women with CAH

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