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Classic congenital adrenal hyperplasia

MedGen UID:
1390311
Concept ID:
C4329672
Disease or Syndrome
Synonyms: classic CAH; Classic Congenital Adrenal Hyperplasia; classic congenital adrenal hyperplasia
 
Monarch Initiative: MONDO:0060783

Definition

A severe form of congenital adrenal hyperplasia characterized by very low or absent activity of an enzyme in the steroidogenic pathway typically presenting early in life, and requiring life-long cortisol replacement. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVClassic congenital adrenal hyperplasia

Professional guidelines

PubMed

Adriaansen BPH, Schröder MAM, Span PN, Sweep FCGJ, van Herwaarden AE, Claahsen-van der Grinten HL
Front Endocrinol (Lausanne) 2022;13:1064024. Epub 2022 Dec 12 doi: 10.3389/fendo.2022.1064024. PMID: 36578966Free PMC Article
McCann-Crosby B, Placencia FX, Adeyemi-Fowode O, Dietrich J, Franciskovich R, Gunn S, Axelrad M, Tu D, Mann D, Karaviti L, Sutton VR
Pediatr Endocrinol Rev 2018 Sep;16(1):186-193. doi: 10.17458/per.vol16.2018.mcpa.dexamethasone. PMID: 30371037Free PMC Article
Merke DP, Poppas DP
Lancet Diabetes Endocrinol 2013 Dec;1(4):341-52. Epub 2013 Nov 15 doi: 10.1016/S2213-8587(13)70138-4. PMID: 24622419Free PMC Article

Recent clinical studies

Etiology

Sarafoglou K, Kim MS, Lodish M, Felner EI, Martinerie L, Nokoff NJ, Clemente M, Fechner PY, Vogiatzi MG, Speiser PW, Auchus RJ, Rosales GBG, Roberts E, Jeha GS, Farber RH, Chan JL; CAHtalyst Pediatric Trial Investigators
N Engl J Med 2024 Aug 8;391(6):493-503. Epub 2024 Jun 2 doi: 10.1056/NEJMoa2404655. PMID: 38828945
Gomes LG, Bachega TASS, Mendonca BB
Fertil Steril 2019 Jan;111(1):7-12. doi: 10.1016/j.fertnstert.2018.11.037. PMID: 30611420
McCann-Crosby B, Placencia FX, Adeyemi-Fowode O, Dietrich J, Franciskovich R, Gunn S, Axelrad M, Tu D, Mann D, Karaviti L, Sutton VR
Pediatr Endocrinol Rev 2018 Sep;16(1):186-193. doi: 10.17458/per.vol16.2018.mcpa.dexamethasone. PMID: 30371037Free PMC Article
Carmina E, Dewailly D, Escobar-Morreale HF, Kelestimur F, Moran C, Oberfield S, Witchel SF, Azziz R
Hum Reprod Update 2017 Sep 1;23(5):580-599. doi: 10.1093/humupd/dmx014. PMID: 28582566
Reisch N
Best Pract Res Clin Endocrinol Metab 2015 Jan;29(1):33-45. Epub 2014 Nov 14 doi: 10.1016/j.beem.2014.11.002. PMID: 25617171

Diagnosis

Adriaansen BPH, Schröder MAM, Span PN, Sweep FCGJ, van Herwaarden AE, Claahsen-van der Grinten HL
Front Endocrinol (Lausanne) 2022;13:1064024. Epub 2022 Dec 12 doi: 10.3389/fendo.2022.1064024. PMID: 36578966Free PMC Article
Auchus RJ, Sarafoglou K, Fechner PY, Vogiatzi MG, Imel EA, Davis SM, Giri N, Sturgeon J, Roberts E, Chan JL, Farber RH
J Clin Endocrinol Metab 2022 Feb 17;107(3):801-812. doi: 10.1210/clinem/dgab749. PMID: 34653252Free PMC Article
Reisch N
Endocrinol Metab Clin North Am 2019 Sep;48(3):619-641. doi: 10.1016/j.ecl.2019.05.011. PMID: 31345527
Carmina E, Dewailly D, Escobar-Morreale HF, Kelestimur F, Moran C, Oberfield S, Witchel SF, Azziz R
Hum Reprod Update 2017 Sep 1;23(5):580-599. doi: 10.1093/humupd/dmx014. PMID: 28582566
Nermoen I, Husebye ES, Myhre AG, Løvås K
Tidsskr Nor Laegeforen 2017 Apr;137(7):540-543. Epub 2017 Apr 4 doi: 10.4045/tidsskr.16.0376. PMID: 28383228

Therapy

Adriaansen BPH, Schröder MAM, Span PN, Sweep FCGJ, van Herwaarden AE, Claahsen-van der Grinten HL
Front Endocrinol (Lausanne) 2022;13:1064024. Epub 2022 Dec 12 doi: 10.3389/fendo.2022.1064024. PMID: 36578966Free PMC Article
Auchus RJ, Sarafoglou K, Fechner PY, Vogiatzi MG, Imel EA, Davis SM, Giri N, Sturgeon J, Roberts E, Chan JL, Farber RH
J Clin Endocrinol Metab 2022 Feb 17;107(3):801-812. doi: 10.1210/clinem/dgab749. PMID: 34653252Free PMC Article
Reisch N
Endocrinol Metab Clin North Am 2019 Sep;48(3):619-641. doi: 10.1016/j.ecl.2019.05.011. PMID: 31345527
Carmina E, Dewailly D, Escobar-Morreale HF, Kelestimur F, Moran C, Oberfield S, Witchel SF, Azziz R
Hum Reprod Update 2017 Sep 1;23(5):580-599. doi: 10.1093/humupd/dmx014. PMID: 28582566
Nermoen I, Husebye ES, Myhre AG, Løvås K
Tidsskr Nor Laegeforen 2017 Apr;137(7):540-543. Epub 2017 Apr 4 doi: 10.4045/tidsskr.16.0376. PMID: 28383228

Prognosis

Nakhleh A, Saiegh L, Shehadeh N, Weintrob N, Sheikh-Ahmad M, Supino-Rosin L, Alboim S, Gendelman R, Zloczower M
Front Endocrinol (Lausanne) 2022;13:1048663. Epub 2023 Jan 10 doi: 10.3389/fendo.2022.1048663. PMID: 36704043Free PMC Article
Sarafoglou K, Barnes CN, Huang M, Imel EA, Madu IJ, Merke DP, Moriarty D, Nakhle S, Newfield RS, Vogiatzi MG, Auchus RJ
J Clin Endocrinol Metab 2021 Oct 21;106(11):e4666-e4679. doi: 10.1210/clinem/dgab438. PMID: 34146101Free PMC Article
Kurnaz E, Çetinkaya S, Özalkak Ş, Bayramoğlu E, Demirci G, Öztürk HS, Erdeve ŞS, Aycan Z
Horm Metab Res 2020 Sep;52(9):654-659. Epub 2020 Feb 27 doi: 10.1055/a-1116-2173. PMID: 32108931
Krysiak R, Kowalcze K, Marek B, Okopień B
Acta Cardiol 2020 Dec;75(8):705-710. Epub 2019 Sep 20 doi: 10.1080/00015385.2019.1666964. PMID: 31538536
Reisch N
Endocrinol Metab Clin North Am 2019 Sep;48(3):619-641. doi: 10.1016/j.ecl.2019.05.011. PMID: 31345527

Clinical prediction guides

Sarafoglou K, Kim MS, Lodish M, Felner EI, Martinerie L, Nokoff NJ, Clemente M, Fechner PY, Vogiatzi MG, Speiser PW, Auchus RJ, Rosales GBG, Roberts E, Jeha GS, Farber RH, Chan JL; CAHtalyst Pediatric Trial Investigators
N Engl J Med 2024 Aug 8;391(6):493-503. Epub 2024 Jun 2 doi: 10.1056/NEJMoa2404655. PMID: 38828945
Nakhleh A, Saiegh L, Shehadeh N, Weintrob N, Sheikh-Ahmad M, Supino-Rosin L, Alboim S, Gendelman R, Zloczower M
Front Endocrinol (Lausanne) 2022;13:1048663. Epub 2023 Jan 10 doi: 10.3389/fendo.2022.1048663. PMID: 36704043Free PMC Article
Messina V, Hirvikoski T, Karlsson L, Vissani S, Wallensteen L, Ortolano R, Balsamo A, Nordenström A, Lajic S
Endocrine 2020 May;68(2):427-437. Epub 2020 Mar 9 doi: 10.1007/s12020-020-02244-1. PMID: 32152914Free PMC Article
Kurnaz E, Çetinkaya S, Özalkak Ş, Bayramoğlu E, Demirci G, Öztürk HS, Erdeve ŞS, Aycan Z
Horm Metab Res 2020 Sep;52(9):654-659. Epub 2020 Feb 27 doi: 10.1055/a-1116-2173. PMID: 32108931
Hamed SA, Metwalley KA, Farghaly HS
Eur J Pediatr 2018 Nov;177(11):1633-1640. Epub 2018 Aug 7 doi: 10.1007/s00431-018-3226-7. PMID: 30088136

Recent systematic reviews

Carmina E, Dewailly D, Escobar-Morreale HF, Kelestimur F, Moran C, Oberfield S, Witchel SF, Azziz R
Hum Reprod Update 2017 Sep 1;23(5):580-599. doi: 10.1093/humupd/dmx014. PMID: 28582566

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