Salt-wasting congenital adrenal hyperplasia: A case report

Autor: Muhammad Nasir, Adnan Mirza, Salma Rattani
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Liaquat Medical Research Journal, Vol 6, Iss 3 (2024)
Druh dokumentu: article
ISSN: 2664-5734
2709-5878
DOI: 10.38106/LMRJ.2024.6.3-10
Popis: Salt-Wasting Congenital Adrenal Hyperplasia (SW-CAH) is a rare genetic disorder characterized by enzyme deficiencies affecting the adrenal steroidogenesis pathway, leading to a decrease in cortisol synthesis. Here presented a case of a 28-day-old male infant presented with symptoms of lethargy and feeding difficulties. Initial evaluations revealed severe electrolyte imbalances, including hyponatremia and hyperkalemia. Further investigations, including hormone tests, confirmed a diagnosis of SW-CAH. The management involved intravenous therapy with steroids, including hydrocortisone and fludrocortisone, to restore hormonal balance. Strict monitoring of sugar levels, blood pressure, serum electrolytes, and cortisol levels was crucial. The case highlights the importance of early diagnosis and intervention, particularly in regions with limited access to healthcare services. This report underscores the need for increased awareness of CAH, particularly SW-CAH, and the potential benefits of implementing newborn screening programs and establishing effective disease databases to improve early detection and management of this condition, potentially saving lives.
Databáze: Directory of Open Access Journals