congenital adrenal hyperplasia in male infant with adrenal crisis: a case report

Males with congenital adrenal hyperplasia (cah) are often diagnosed later compared to females. affected male infants without a sign of ambiguous genitalia are particularly prone to the occurrence of adrenal crisis. the misdiagnosis or delay in cah treatment in males contributes significantly to morbidity and early death. this case report aims to report a case and increase the cah awareness in male infants with adrenal crisis. a 40-day-old male infant was brought to the emergency department with vomiting, shortness of breath, poor feeding, drowsiness, and weight faltering. the physical examination revealed signs of dehydration, hypotension, and hyperpigmentation on the areola and genitalia. the laboratory results showed hyponatremia, hyperkalemia, and metabolic acidosis. the diagnosis was confirmed by clinical manifestations and elevated 17- oh progesterone (17-ohp). the management was treating the dehydration and administering hydrocortisone in stress dose. hydrocortisone, fludrocortisone, and sodium chloride supplementation were also given as maintenance therapy. genetic counseling should be encouraged during the prenatal period. well management and treatment in patients with cah is important to attain normal growth and development.