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Doctor insights on: Cah Panel 9

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Could a child have cah and what should I do?

Could a child have cah and what should I do?

Yes: If you mean congenital adrenal hyperplasia by cah then yes a child can have it. If this is a concern see your physician and if you need a referral to an endocrinologist, your doctor can help with that. ...Read more

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Dr. Vered Lewy-Weiss
66 Doctors shared insights

Congenital Adrenal Hyperplasia (Definition)

A collection of genetic conditions that limit your adrenal glands' ability to ...Read more


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Could my child have cah and what should I do?

Hepatitis?: Is that chronic active hepatitis you are referring to? If it is, no, that is an adult disease. However your child can have some form of hepatitis, of which there are quite a few types. As usual, this is a question for your pediatrician, and parents history is very important with relation to a child's health, too. ...Read more

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Does cah in a 7yr old cause profuse sweat?

Does cah in a 7yr old cause profuse sweat?

CAH: No but electrolyte imballance or hypoglycemia does. These can be associated with classic salt-losing cah. ...Read more

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Is congenital adrenal problem like cah always serious and why?

Is congenital adrenal problem like cah always serious and why?

Not always: Unless it's onset is with birth and associated with severe salt wasting (that's why it's part of the newborn screen in all 50 states). It's carrier rate is quite common however, almost 1 in 40 so many people ate walking around without knowing they are carriers! ...Read more

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Does glycyrrhizic acid (in liquorice root) have glucocorticoid effects? If so, has it ever been studied for use in treating lo-cah? Study links?

No: Glycyrrhizinic acid inhibits an enzyme in the kidney (11? -hydroxysteroid dehydrogenase). This enzyme inactivates cortisol in the kidney. Inhibition of this enzyme leads to decreased inactivation of cortisol and thus to increased cortisol levels. Not expected to work in cah since this is characterized by an inabilty to make cortisol. ...Read more

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HOW CAN NON CLASSICAL CAH BE DETECTED?

HOW CAN NON CLASSICAL CAH BE DETECTED?

Non classical CAH: Non classical congenital adrenal hyperplasia is diagnosed via a single blood test, drawn in the morning and looking at adrenal steroid levels (17-hydroxyprogesterone, androstenedione and testosterone). This may be sufficient to make the diagnosis of CAH. An ACTH stimulation test is done to confirm the diagnosis. Needs follow up with an endocrinologist. ...Read more

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What are the effects of not taking medicine for cah?

What are the effects of not taking medicine for cah?

Risky: If don't take medicine may be susceptible to low sodium (electrolyte) imbalance. This can be serious. Also you may be susceptible to low blood pressure under stressful conditions. Try not to miss any doses. One missed dose probably won't hurt ...Read more

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Can addison's disease co exist with late onset cah?

Can addison's disease co exist with late onset cah?

2 distinct diseases: These are 2 very different conditions, both of which result in inadequate production of cortisol (as well as mineralocorticoids). Addison disease = failure of or destruction of the adrenal cortex. Cah = enzymatic deficiency which blocks the hormone production in the adrenals, generally presenting as a newborn. Similar results--potentially lethal cortisol deficiency--but very different diseases. ...Read more

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Addison's and late onset cah are two different diseases but can a person have both at the same time?

Absolutely: Both diseases can be life threatening. Better check with your doc asap. Two diseases at the same time are obviously bad news. Check with your doc and good luck. ...Read more

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Why the contradiction between dr belilovsky nd dr khanna's answers to same question? "can one have both of these diseases addison's and late onset cah

Why the contradiction between dr belilovsky nd dr khanna's answers to same question? "can one have both of these diseases addison's and late onset cah

CAH is: Not adrenal insufficiency as addison';s disease is. While there are various forms of cah due to different genetic abnormalities and hormone alterations. Most of these conditions involve excessive or deficient production of sex steroids and can alter development of primary or secondary sex characteristics in some affected infants, children, or adults. ...Read more

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To find out if I have late onset cah, do they test your thyroid?

To find out if I have late onset cah, do they test your thyroid?

They should, only: Because this is an endocrine abnormality (endocrinopath) and it is not uncommon that if one has one, that another may co-exist. However, generally, thyroid function and hormone levels are normal with cah. ...Read more

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If your doctor suspects you for late onset cah, does he test you right away?

If your doctor suspects you for late onset cah, does he test you right away?

Yes: If there is a high index of suspicion for any disease, test for that disease. Most diagnoses are made by a bright, experienced, knowledgable mind. Most testing corroborates that diagnosis. ...Read more

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I was dx'd with CAH 34 years ago. Now I have high cortisol (28) lowered acth (11.2) and almost 0 aldosterone (<1.0). Is this typical of CAH?

I was dx'd with CAH 34 years ago. Now I have high cortisol (28) lowered acth (11.2) and almost 0 aldosterone (<1.0). Is this typical of CAH?

Yes: Depending on the type you have, it could be - most commonly the cortisol level is low and there is an elevation of mineralocorticoids like aldosterone. Since there are at least 4 distinct types of CAH, I'd need more information to answer your question. The best way to personally address your questions is to sit down with your endocrinologist and ask for an update on your condition... ...Read more

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What is formefruste cah?

What is formefruste cah?

Mild: Forme fruste refers to a mild or incomplete form of a disease. Non-classical cah could have been considered forme fruste at one point because no salt wasting or ambiguous genitalia is seen, unlike classical cah. ...Read more

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Has anyone got new information on cah?

Has anyone got new information on cah?

OldDiseaseOld Info: Congenital Adrenal Hyperplasia is an old disease in which there is congenital deficiency of an enzyme which is needed in synthesis of Cortisol and also Aldosterone and is treated with the replacement with these hormones and there is nothing new ...Read more

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How can you tell if you have a child with cah?

How can you tell if you have a child with cah?

Newborn screening: Most states including Texas have screened for this disorder in newborns for years using the blood spots on a newborns exit testing. If you suspect this mignt have been missed, the kids doc cam certainly test for specific issues. ...Read more

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