Symptoms of congenital adrenal hyperplasia range from mild to serious. Some people with mild congenital adrenal hyperplasia might never be diagnosed because their symptoms do not cause them any problems.
Symptoms of the mild form of CAH may include:
- Shorter height than their parents
- Early signs of puberty (in children)
- Acne
- Irregular periods and possible trouble getting pregnant (in women)
- Excess facial hair (in women)
Symptoms of the severe form of CAH may include:
- Dehydration
- Low blood pressure
- Low blood sugar level
- Trouble keeping enough salt in their bodies
- Altered development of the external genitalia in girls which is noted at birth and may require surgery to correct
- Shorter height than their parents
- Early signs of puberty (in children)
- Irregular periods and possible trouble getting pregnant (in women)
- Excess facial hair (in women)
- Benign testicular tumors and infertility (in men)
Testing for the severe form of congenital adrenal hyperplasia is now part of routine newborn screening done in most states.
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