Publication:
A Neonate Presenting with Severe Dehydration - A Case of Congenital Adrenal Hyperplasia with Salt Losing Crisis

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorLamichhane, Anita
dc.contributor.authorPhuyel, Rekha
dc.contributor.authorUpreti, Manish
dc.contributor.authorKhadka,Ramesh
dc.date.accessioned2025-07-31T10:04:39Z
dc.date.available2025-07-31T10:04:39Z
dc.date.issued2024
dc.descriptionAnita Lamichhane Department of Pediatrics, Lumbini Medical College and Teaching Hospital, Prabhas, Palpa, Nepal Rekha Phuyel Department of Pediatrics, Lumbini Medical College and Teaching Hospital, Prabhas, Palpa, Nepal Manish Upreti https://orcid.org/0000-0002-1215-8150 Ramesh Khadka Department of Pediatrics, Lumbini Medical College and Teaching Hospital, Prabhas, Palpa, Nepal
dc.description.abstractAbstract Congenital adrenal hyperplasia (CAH) is a rare autosomal recessive disorder caused by mutations in genes involved in cortisol biosynthesis in the adrenal gland. Depending on the enzymatic defect, the symptoms, signs, and laboratory findings differ. The most common form, accounting for more than 95% of cases, is caused by 21-hydroxylase deficiency. Delay in the diagnosis and treatment can lead to life-threatening adrenal crisis with hemodynamic collapse. We report a case of a five-day-old male neonate with congenital adrenal hyperplasia and salt-wasting crisis. The diagnosis was made after comprehensive assessment of clinical features and laboratory investigations. He was treated with hydrocortisone and fludrocortisone and was discharged after one week.
dc.identifierhttps://doi.org/10.31729/jnma.8777
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1079
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleA Neonate Presenting with Severe Dehydration - A Case of Congenital Adrenal Hyperplasia with Salt Losing Crisis
dc.typeOther
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage708
oaire.citation.startPage706
relation.isJournalIssueOfPublication1a7d80e7-5c12-4308-bd44-1ce4c4bf8556
relation.isJournalIssueOfPublication.latestForDiscovery1a7d80e7-5c12-4308-bd44-1ce4c4bf8556
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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