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| | Congenital adrenal hyperplasia |
 | | CAH can be controlled and successfully treated in most patients as long as they remain on drug therapy. | | | Females with CAH who have masculine external genitalia require surgery to reconstruct the clitoris and/or vagina. | | | Since there is very little data on the effectiveness and safety of prenatal therapy, it should only be offered to patients who clearly understand the risks and benefits and who are capable of complying with strict monitoring and follow-up throughout pregnancy and after the child is born. |
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http://www.rwjhamilton.org/Atoz/ency/congenital_adrenal_hyperplasia.asp
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| | American Family Physician: Congenital Adrenal Hyperplasia: Not Really a Zebra |
| | Recognition of the problem and timely replacement therapy can reduce morbidity and enhance quality of life in patients that are affected by congenital adrenal hyperplasia. | | | Hypersecretion of adrenal androgens causes masculinization of the external genitalia of the female fetus. | | | Diagnosis of congenital adrenal hyerplasia in fetuses that are at risk for congenital adrenal hyperplasia can be determined using human leukocyte antigen haplotype or by demonstration of excess cortisol precursors in amniotic fluid. |
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http://www.findarticles.com/p/articles/mi_m3225/is_5_59/ai_54952074
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| | eMedicine - Congenital Adrenal Hyperplasia : Article by Thomas A Wilson, MD |
| | Other forms of adrenal hyperplasia are characterized by disordered genital development in utero, lack of development of secondary sexual characteristics, or hypertension. | | | Some female infants with adrenal hyperplasia are only mildly virilized and may not require corrective surgery if they receive adequate medical therapy to prevent further virilization. | | | Mortality/Morbidity: The morbidity of the various forms of adrenal hyperplasia is best understood in the context of the steroidogenic pathway used by the adrenal glands and gonads (see Image 1). |
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http://www.emedicine.com/ped/topic48.htm
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| | Congenital Adrenal Hyperplasia |
| | The goals of contemporary medical treatment of CAH are 1) optimal gender assignment in newborns with genital ambiguity and 2) appropriate replacement of inadequately produced adrenal and gonadal steroids. | | | The frequency of unexplained deaths of male infants in families later recognized to be at risk for CAH demonstrates the risk of death from adrenal crisis in newborns with CAH. | | | Because contemporary treatment of CAH exposes most patients to hypercortisolism, hyperagndrogenism, or both, what therapeutic alternatives are available to circumvent this problem and improve treatment outcome? |
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http://home.coqui.net/myrna/cah.htm
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| | NEW DEVELOPMENTS IN THE TREATMENT AND DIAGNOSIS OF CONGENITAL ADRENAL HYPERPLASIA |
| | A more radical suggestion for alternative CAH therapy is a surgical one: adrenalectomy. | | | For the present, most patients with CAH can be reasonably well-managed with the standard medical and surgical approaches. | | | Because of these difficulties in fine-tuning medical treatment of classic, severe CAH with standard therapy, doctors at the National Institutes of Health in Bethesda, Maryland have designed an innovative experimental type of drug therapy. |
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http://www.medhelp.org/www/nadf5.htm
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| | Congenital adrenal hyperplasia |
| | A baby girl with CAH is usually born with an enlarged clitoris and partly fused labia. | | | An injection of hydrocortisone may be required if a person with CAH becomes very sick or needs surgery. | | | They should seek medical help immediately and can then, in consultation with their doctor, give appropriate doses of the required medication to prevent a crisis from occurring. |
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http://www.betterhealth.vic.gov.au/bhcv2/BHCLang.nsf/(LevelFour)/8898C956E7A676984A256B640083BD43?OpenDocument
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| | Congenital adrenal hyperplasia :: Web Articles :: |
| | After application of karyotyping to CAH and other intersex disorders in the 1950s, John Money, JL Hampson, and JG Hampson persuaded both the scientific community and the public that sex assignment should not be based on any single biological criterion, and gender identity was largely learned and has no simple relationship with chromosomes or hormones. | | | Each child of that pair of parents has a 25% chance of being affected, "having CAH". | | | I propose in this narrative that it is sometimes extremely difficult and even impossible to determine sex during life. |
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http://www.webarticles.com/Health/Women/Congenital-adrenal-hyperplasia
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| | Congenital Adrenal Hyperplasia |
| | All patients with CAH, regardless of form, are treated with glucocorticoid replacment therapy. | | | These procedures are complicated by concerns about when the surgery should be performed, gender identity of the patient and other factors. | | | A number of surigical procedures have been developed to correct the genital abnormalities of girls with the virilizing form of CAH. |
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http://arbl.cvmbs.colostate.edu/hbooks/pathphys/endocrine/adrenal/cah.html
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| | MedlinePlus Medical Encyclopedia: Congenital adrenal hyperplasia |
| | Genetic counseling is indicated for parents with a family history of congenital adrenal hyperplasia (of any type) or a family with a child who has the condition. | | | Genetic counseling is important if there is a history of congenital adrenal hyperplasia. | | | Untreated, this condition can lead to death within 1-6 weeks after birth. |
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http://www.nlm.nih.gov/medlineplus/ency/article/000411.htm
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| | Newborn Screening Program - Congenital Adrenal Hyperplasia |
| | A list of genetic counselors and geneticists, whose services are available through the Illinois Department of Public Health, should be given to the parents if they have not already seen a geneticist. | | | A multidisciplinary approach is recommended and should include the following specialties: pediatrics, endocrinology and, in some cases, pediatric reconstructive surgery. | | | Female infants with ambiguous genitalia may require re-constructive surgery. |
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http://www.idph.state.il.us/HealthWellness/fs/congenitalhyper.htm
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| | Congenital Adrenal Hyperplasia (CAH) General Overview |
| | For more information about this, contact your health care provider or a genetic counselor. | | | If the information contained on this page does not answer all of your questions or you would just simply like more information, please check out the Clinical Description and Related Links pages or contact us with your specific question. | | | To prevent problems, treatment must begin shortly after birth. |
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http://www.doh.wa.gov/ehsphl/phl/newborn/cahgo.htm
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| | Congenital Adrenal Hyperplasia dot Com |
| | In the Medical Sites section you will find links to web sites and pages with information on the medical aspects of CAH, including technical information, medicine, screening, DNA testing, etc. Many of the links are to sites and pages for medical professional so may be hard to understand. | | | While this site is intended to provide information, support and education for people and families with CAH, your Endocrinologist must always be your primary source for medical information, and should always be consulted regarding any medical questions. | | | Our Message Boards are the heart of our efforts to facilitate the Education and Support of people and families with CAH. |
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http://www.congenitaladrenalhyperplasia.org
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| | Congenital Adrenal Hyperplasia (CAH) |
| | The over-stimulation results in increased adrenal androgen levels and masculinization of the female fetus and newborn. | | | Since the disorder of steiodogensis begins early in fetal life, there is almost always evidence of some degree of masculinization at birth (enlargement of the clitoris and varying degrees of labial infusion. | | | Mental development is usually normal, but the abnormal physical development may result in behavioral problems. |
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http://www.state.in.us/isdh/programs/nbs/CAHInfo.htm
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| | NADF - National Adrenal Disease Foundation - Home Page |
| | NADF does not engage in the practice of medicine, is not a medical authority, and does not claim medical knowledge. | | | Many of the articles that have been on our site in the past are still here, and we have added many new articles and topics. | | | Provided support for those suffering from adrenal disease. |
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http://www.medhelp.org/www/nadf
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| | Congenital Adrenal Hyperplasia |
| | He was placed on life support and started on several different medications for heart rate, blood pressure, and his CAH. | | | I feel you can never have to much information about something that affects your children and if you've been through it, maybe your information can help someone else. | | | D.J. was a salt- waster, and his CAH was controlled by medications. |
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http://www.geocities.com/Heartland/Canyon/7906
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| | Congenital Adrenal Hyperplasia |
| | Congenital adrenal hyperplasia Tx raises risk of bone loss.(Endocrinology) : An article from: Internal Medicine News | | | Raising a child with special needs.(THE REST OF YOUR LIFE) : An article from: Clinical Psychiatry News | | | Care Journal : Diseases and Conditions : Congenital Adrenal Hyperplasia |
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http://www.carejournal.org/index.php?c=421
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| | Congenital Adrenal Hyperplasia Support Group |
| | Even when this is only as a means of comfort or to pass on your skills as as an experienced parent or individual with Congenital Adrenal Hyperplasia. | | | CAH Support Forum.Com is an community to support families with children or people who have Congenital Adrenal Hyperplasia. | | | Because Congenital Adrenal Hyperplasiais such a rare condition, an online community is an excellent way of bringing people together to support and befriend eachother. |
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http://www.cahsupportforum.com
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| | Congenital Adrenal Hyperplasia |
| | As a result, many pediatric urologists, endocrinologists and psychiatrists are recommending that any reconstructive surgery for intersex conditions be undertaken only after the affected individual can understand the ramifications of the surgery and give informed consent. | | | In the past, females affected by congenital adrenal hyperplasia often underwent surgical reconstruction to decrease the size of the clitoris and to widen the vaginal introitus. | | | In some individuals, however, enzyme deficiencies can lead to a build-up of certain intermediate hormones along the pathway toward cortisol, a condition called congenital adrenal hyperplasia. |
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http://www.meddean.luc.edu/lumen/MedEd/urology/cah.htm
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| | Congenital Adrenal Hyperplasia - D. Kienstra |
| | The following is a summary of a patient that our service has followed for ten years. | | | Nursing care includes education about the evaluation, disorder, and treatment. | | | For those patients with salt losing CAH mineralocorticoid replacement is provided with fludrocortisone (Florinef) 0.05 to 0.2 mg/day. |
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http://www.pens.org/articles/kienstra-d.htm
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| | Congenital Adrenal Hyperplasia (CAH) |
| | Treatment: A pediatric endocrinologist should make salt-wasting and non salt-wasting CAH diagnosis and treatment. | | | Congenital Adrenal Hyperplasia (CAH) is a family of autosomal recessive disorders characterized by the inability to synthesize cortisol, and in most instances, also the inability to synthesize the salt-retaining hormone, aldosterone. | | | If clinical symptoms of salt-wasting CAH are present, consult with a pediatric endocrinologist and confirm with serum testing. |
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http://www.health.state.mo.us/Lab/Newborn/CAH.html
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| | Congenital Adrenal Hyperplasia |
| | The classic form initiates while the baby is still forming in the womb and its symptoms are present in the newborn, while the non-classical form is often referred to as "late-onset" CAH because it presents later into infancy, or can even be acquired in adulthood. | | | Both classical and non-classical forms are "congenital" which means there is an abnormality in the genes that causes CAH and people are born with it. | | | Mild forms of the disease (called "non-classical") result in symptoms such as severe acne, excess facial and/or body hair, early development of pubic hair, receding scalp hairline, menstrual disturbances in females, and infertility in both males and females. |
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http://pedsendo.med.cornell.edu/cah
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| | DNA Testing: Congenital Adrenal Hyperplasia |
| | Patients who are affected with 21-hydroxylase deficiency congenital adrenal hyperplasia are more likely to be compound heterozygotes than homozygotes. | | | If no mutations are found by our analysis, the risk of being a carrier has been reduced to 1/1084. | | | Thus, an individual who is affected with nonclassical 21-hydroxylase deficiency will very likely carry one nonclassical gene, and one gene for the more severe classical form of 21-hydroxylase deficiency. |
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http://pedsendo.med.cornell.edu/cah/factshet.htm
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| | Adrenal Hyperplasia, Congenital (General) |
| | Congenital Adrenal Hyperplasia (CAH) refers to a group of disorders that result from the impaired ability of the adrenal glands to produce vital steroid hormones (corticosteroids), two of which, glucocorticoids and mineralocorticoids, are normally active in the body. | | | Almost 95% of cases of CAH are the result of 21-hydroxylase deficiency. | | | CARES Foundation, Inc. (Congenital Adrenal Hyperplasia, Research, Education and Support) |
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http://www.bchealthguide.org/kbase/nord/nord97.htm
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| | GeneDis Congenital Adrenal Hyperplasia (CAH) Mutation Web Site |
| | Congenital Adrenal Hyperplasia is a human genetic disease caused due to mutations in the 3-beta HSD gene. | | | The classical form of this disease includes the association of severe salt- losing adrenal insufficiency and ambiguity of external genitalia in both sexes. | | | Congenital deficiency of 3-beta HSD activity (congenital adrenal hyperplasia; CAH) causes a severe depletion of steroid formation, and is frequently lethal in early life. |
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http://life2.tau.ac.il/GeneDis/Tables/CAH/cah.html
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| | CARES Foundation |
| | CARES Foundation, Inc. is committed to education and research for Congenital Adrenal Hyperplasia while providing the resources and the latest information available for managing life with CAH. | | | Children w/ endocrine disorders in Katrina areas need help. |
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http://www.caresfoundation.org
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| | Congenital Adrenal Hyperplasia |
| | This follows the procedure of diagnosing this child with CAH, i.e., testing, etc. | | | However, I encourage any new questions to be posted at the Carlton Family CAH Message Board | | | by Tori Hudson, N.D. Note the second and third reference for further reading on CAH |
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http://www.geocities.com/Heartland/Plains/8486
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| | Congenital Adrenal Hyperplasia |
| | This is one page of 5 in this chapter, 222 in this book, and 4645 in the Family Practice Notebook. | | | Onset as newborn with adrenal crisis by 2 weeks old |
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http://www.fpnotebook.com/END4.htm
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| | NEJM -- Congenital Adrenal Hyperplasia |
| | Kochli, A., Tenenbaum-Rakover, Y., Leshem, M. Increased salt appetite in patients with congenital adrenal hyperplasia 21-hydroxylase deficiency. | | | This article has been cited by other articles: | | | FUJIEDA, K., TAJIMA, T. Molecular Basis of Adrenal Insufficiency. |
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http://content.nejm.org/cgi/content/extract/349/8/776
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