A case of lipoid congenital adrenal hyperplasia presenting with cholestasis.
BACKGROUND
Lipoid congenital adrenal hyperplasia, is the rarest and usually the most severe form of adrenal steroidogenic defect,which may presents as infantile cholestasis.


METHODS
Here we present a 45 days old infant who came to our attention with cholestasis and severe intractable vomiting and electrolyte disturbances. Evaluation resulted in diagnosis of congenital adrenal hyperplasia. Hydrocortisone and flodrocortisone improved the symptoms including jaundice and vomiting. Hyponatremia and hyperkalemia also resolved with above mentioned treatment.


CONCLUSIONS
Congenital adrenal hyperplasia as one of the causes of neonatal cholestasis should be kept in mind, whenever there are also electrolytes abnormalities.
Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran ; Center of Excellence for pediatrics, Children's Medical Center, Tehran, Iran.
Ahmad
A
Khodadad
Vajiheh
V
Modaresi
Mohammad-Ali
MA
Kiani
Ali
A
Rabani
Bahar
B
Pakseresht