TLDR Over a third of women thought to have non-classical congenital adrenal hyperplasia didn't have it confirmed by genetic tests.
In a study conducted in 2014, researchers found that more than a third of women diagnosed with non-classical congenital adrenal hyperplasia (NCCAH) did not have their diagnosis confirmed by genetic analysis. The study involved 29 women who were followed at various departments in a medical center. The most common symptoms among these women were hirsutism (69%) and oligomenorrhea (48.3%). Genetic testing revealed that 37.9% of the results did not confirm the initial diagnosis of NCCAH. The researchers concluded that a significant subset of women treated for NCCAH did not have a confirmatory genetic diagnosis, suggesting a need to reconsider the diagnostic and therapeutic requirements for patients with a suspected diagnosis of NCCAH.
42 citations
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April 2013 in “Steroids” Non-classic congenital adrenal hyperplasia is a common disorder causing symptoms like acne and infertility, and it's managed based on symptoms, not just test results. Treatment can improve fertility and reduce miscarriage risk.
117 citations
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May 2017 in “Human Reproduction Update” The update highlights that non-classic congenital adrenal hyperplasia is common in women with excess male hormones, requires specific hormone tests for diagnosis, and has various treatment options depending on age and symptoms.
Low-dose glucocorticoid treatment improves pregnancy and birth rates in women with nonclassical 21-hydroxylase deficiency.
30 citations
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June 2019 in “Frontiers in Endocrinology” The document concludes that managing non-classical congenital adrenal hyperplasia in females requires personalized treatment, genetic counseling, and a team of specialists.
2 citations
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April 2013 in “Expert Review of Endocrinology & Metabolism” Identifying nonclassic congenital adrenal hyperplasia and carriers of CYP21 mutations is challenging, and genetic counseling is recommended due to their prevalence.
26 citations
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March 2009 in “Dermato-endocrinology” The document concludes that diagnosing and treating Congenital Adrenal Hyperplasia is complex and requires a team approach due to its effects on the skin and other symptoms.