Scientific Programme & Abstracts from the International Meeting in Pediatric Endocrinology (IMPE)

impe0096s9.1 | Advances in Congenital Adrenal Dysfunction | IMPE2023

Optimizing hormonal treatment in children and adolescents with congenital adrenal hyperplasia due to 21 hydroxylase deficiency

van der Grinten Hedi Claahsen , Schroeder Mariska

Congenital adrenal hyperplasia (CAH) is a group of inherited conditions affecting the cortisol production in the adrenal cortex due to a defect in one of the enzymes involved in the cortisol synthesis. The most common enzymatic defect is 21 hydroxylase deficiency (21OHD) leading to a lack of cortisol and mostly also aldosterone and an overproduction of adrenal androgens due to chronically elevated ACTH production. Patients need lifelong glucocorticoid substitution to replace t...