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What is An 18 month old child with ambiguous genitalia presented to the hospital, his BP is 118/78 mm Hg, Serum K+ is 6 mEq/L, serum sodium is 120 mEq/L. Patient was staed on I.V. fluids. What additional specific therapy will you add? and explain in detail?
Clinical scenario and investigational findings point towards diagnosis of Congenital Adrenal Hyperplasia. All patients with classical CAH require replacement therapy with Hydrocoisone . Those with salt wasting also require mineralocoicoid replacement. The goals of therapy are to restore levels of physiological steroid hormones to the normal range