CONGENITAL ADRENAL HYPERPLASIA: PRESENTING WITHHYPOCORTISOLISM; SEVEREHYPOCALCAEMIA; HYPOKALAEMIA AND HYPOGONADOTROPIC HYPOGONADISM

Congenital adrenal hyperplasia in milder forms is not very uncommonWe here report such a case of CAH who defaulted in taking glucocorticoid treatment after taking for nineteen years since the age of two years .For two years the patient did not take replacement steroid.He developed hypertension one year after discontinuation for which he was prescribed antihypertensive . The patient had been taking Indapamide for one year to control hypertension. His condition deteriorated for last two months and he lost weight, became anorectic ,started taking food sparingly. He presented to the hospital with severe weakness, pain ab-domen,nausea, vomiting,found to be hypokalaemic,hypocortisolaemic,hypocalcaemic and developed tetany 2-3 days after admission.