The outer portion (cortex) normally makes three different products: cortisol (hydrocortisone), aldosterone (salt-retaining hormone), and androgens (male-type hormones). The inner core (medulla) of the adrenal gland makes adrenalin and is not affected in CAH.
They produce various hormones, or chemical messengers, which are released into the bloodstream. The adrenal glands (Figure 1) are a pair of small organs, each about the size of a walnut, located on top of the kidneys just below the ribs in the back. In an effort to make enough cortisol, the adrenal gland enlarges, or overgrows. The adrenal glands of babies with CAH are unable to make enough cortisol, which is the principal adrenal gland hormone. In CAH, the child is born with overgrown adrenal glands. Hyperplasia-this word means that the adrenal glands are overgrown. Other than having to take daily medication, the child with CAH can have a completely normal life. It is important for you to know that CAH is a completely treatable medical condition. Some reasons why babies without CAH may test positive on the newborn screening test include improper timing of the screening test, unusual health conditions of the baby in the first days of life, and/or improper specimen collection and processing. In many cases, the retest will show that CAH is not present. It is important to have your child tested as soon as possible. Untreated CAH can result in serious illness and, in some cases, death. These blood tests can be performed by a children's hormone specialist (a pediatric endocrinologist) experienced in the diagnosis and care of children with CAH. More tests will be needed to prove its presence. The screening test does not prove that your baby has CAH. This booklet is provided to tell you about this disorder.įirst, an explanation of the screening test.
Your baby had a positive test for one these disorders: it is called congenital adrenal hyperplasia, or CAH. The purpose of this newborn screening test is to detect disorders before they can cause problems for your child. Your baby had a blood test shortly after birth to look for a number of inherited medical conditions which require early treatment. Inheritance FAQ's Congenital Adrenal Hyperplasia What Causes Congenital Adrenal Hyperplasia? Health Care Information Collection (THCIC).National Electronic Disease Surveillance System (NEDSS).Emergency Medical Services (EMS) Licensure.Food Manufacturers, Wholesalers, and Warehouses.Resources for Cancer Patients, Caregivers and Families.Cancer Resources for Health Professionals.Texas Comprehensive Cancer Control Program.Research, Funding, & Educational Resources.
Center for Health Emergency Preparedness & Response.
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