21-hydroxylase deficiency secondary prevention: Difference between revisions
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{{CMG}} {{AE}} {{AAM}} | {{CMG}} {{AE}} {{AAM}} | ||
==Overview== | ==Overview== | ||
Continued monitoring of hormone balance and careful readjustment of [[glucocorticoid]] dose is helpful in controlling [[fertility]] and preventing [[adrenal crisis]]. | Continued monitoring of hormone balance and careful readjustment of [[glucocorticoid]] dose is helpful in controlling [[fertility]] and preventing [[adrenal crisis]] in patient with congenital adrenal hyperplasia due to 21-hydroxylase deficiency. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
===Preventing hyperandrogenism and optimizing fertility=== | ===Preventing hyperandrogenism and optimizing fertility=== | ||
Revision as of 13:44, 5 October 2015
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Congenital adrenal hyperplasia due to 21-hydroxylase deficiency Microchapters |
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Differentiating Congenital adrenal hyperplasia due to 21-hydroxylase deficiency from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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21-hydroxylase deficiency secondary prevention On the Web |
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American Roentgen Ray Society Images of 21-hydroxylase deficiency secondary prevention |
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Directions to Hospitals Treating Congenital adrenal hyperplasia due to 21-hydroxylase deficiency |
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Risk calculators and risk factors for 21-hydroxylase deficiency secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]
Overview
Continued monitoring of hormone balance and careful readjustment of glucocorticoid dose is helpful in controlling fertility and preventing adrenal crisis in patient with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
Secondary Prevention
Preventing hyperandrogenism and optimizing fertility
Continued monitoring of hormone balance and careful readjustment of glucocorticoid dose is helpful in controlling fertility, but as a group, women with congenital adrenal hyperplasia have a lower fertility rate.
Preventing adrenal crisis
- To prevent adrenal crisis, all persons taking glucocorticoids replacement are taught to increase their doses in the event of illness, surgery, severe injury, or severe exhaustion.
- Vomiting warrants an injection (within hours) of hydrocortisone (e.g., SoluCortef) or other glucocorticoid. This recommendation applies to both children and adults.
- Because young children are more susceptible to illnesses and infections than adults, pediatric endocrinologists usually teach parents how to give hydrocortisone injections.