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Is adrenal hyperplasia always congenital? In 95 percent of cases, the enzyme lacking in congenital adrenal hyperplasia is 21-hydroxylase. Children who have the condition have two parents who either have CAH themselves or who are both carriers of the genetic mutation that causes the condition.
What are the treatment options for CAH? Classic CAH Infants and children usually take a form of cortisol called hydrocortisone. Adults take hydrocortisone, prednisone, or dexamethasone, which also replace cortisol. Patients with classic CAH also take another medicine, fludrocortisone, to replace aldosterone.
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