title: Classic congenital adrenal hyperplasia with virilisation and salt-wasting: from birth to the adult life.
abstract: OBJECTIVE
  Our objective was to show the way the classic CAH presents after birth as a severe condition and develops to the adult life, effecting growth, height and weight, appearance, fertility, relationships and quality of life.
  
  
  METHODS
  We report the case of a 23-years-old female with the classic Congenital Adrenal Hyperplasia (CAH) from birth, diagnosed due to genital pigmentation, clitoromegaly and salt-wasting crisis, treated with glucocorticoid replacement (hydrocortisone, fludrocortisone and NaCI), followed by genital surgery, until the adult life when she continues treatment with fludrocortisone and prednisolone.
  
  
  CONCLUSIONS
  A treatment challenge is to effectively control the excess androgen symptoms by using the lowest possible glucocorticoid dose. Patients well-being can be accomplished by team work, adapted therapy, continues follow-up and patient's compliance (Ref. 15).
authors.affiliation: General Clinic of West Attica--Vougiouklakeion Hospital, Athens, Greece. christosiavazzo@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Iavazzo
authors.forename: E
authors.initials: E
authors.lastname: Myriokefalitaki
authors.forename: F
authors.initials: F
authors.lastname: Ntziora
authors.forename: T
authors.initials: T
authors.lastname: Bozemberg
authors.forename: I
authors.initials: I
authors.lastname: Baskozos
authors.forename: T
authors.initials: T
authors.lastname: Papargyriou
authors.forename: D
authors.initials: D
authors.lastname: Paschalinopoulos
mesh_terms: D000293:Adolescent; D000312:Adrenal Hyperplasia, Congenital / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007010:Hyponatremia / Q000150:complications; D007223:Infant; D007231:Infant, Newborn; D013255:Steroid 21-Hydroxylase; D014770:Virilism / Q000150:complications*; D055815:Young Adult
chemical_list: D013255:Steroid 21-Hydroxylase