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Dr. Andrew Rynne

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Exp 50 years

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Suggest treatment for congenital adrenal hyper plasia

my son age 4 years is diagnoised as congenital adrenal hyperplasia (salt loosing) since birth has developed skin itching problems since last 02 months.was shown to many doctors and applied various ointments viz ..ZOLE-F, RETINO -A .025%,Etc but no relief.SYMTOMS- body pours are visible and looks like activated as we get goose bumps.Presently he is being given HYDROCORTISONE AND FLUDROCORTISONE as per endocrinologist...PLEASE ADVICE....
Thu, 24 May 2018
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Pediatrician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There are two steroids that are used to treat congenital adrenal hyperplasia. These are the ones recommended by the endocrinologist, Hydrocortisone and Fludrocortisone. These medication maintain salt and water balance in the body and break down carbohydrates. Other anti-itch medicines are Prax and PramaGel, which are over the counter. You might want to discuss with son's physician getting an emergency alert bracelet or necklace for your son stating his need for Hydrocortisone in emergency.

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