Sodium Chloride Supplementation Is Not Routinely Performed in the Majority of German and Austrian Infants with Classic Salt-Wasting Congenital Adrenal Hyperplasia and Has No Effect on Linear Growth and Hydrocortisone or Fludrocortisone Dose
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
Sodium chloride supplementation in saltwasting congenital adrenal hyperplasia (CAH) is generally recommended in infants, but its implementation in routine care is very heterogeneous. Objective: To evaluate oral sodium hloride supplementation, growth, and hydrocortisone and fludrocortisone dose in infants with salt-wasting CAH due to 21-hydroxylase in 311 infants from the AQUAPE CAH database. Results: Of 358 patients with classic CAH born between 1999 and 2015, 311 patients had salt-wasting CAH (133 females, 178 males). Of these, 86 patients (27.7%) received oral sodium chloride supplementation in a mean dose of 0.9± 1.4 mmol/kg/day (excluding nutritional sodium content) during the first year of life. 225 patients (72.3%) were not treated with sodium chloride. The percentage of sodium chloride-supplemented patients rose from 15.2% in children born 1999-2004 to 37.5% in children born 2011- 2015. Sodium chloride-supplemented and -unsupplemented infants did not significantly differ in hydrocortisone and fludrocortisone dose, target height-corrected height-SDS.
Details
Original language | English |
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Pages (from-to) | 7-12 |
Number of pages | 6 |
Journal | Hormone Research in Paediatrics |
Volume | 89 |
Issue number | 1 |
Publication status | Published - 1 Feb 2018 |
Peer-reviewed | Yes |
External IDs
PubMed | 29073619 |
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Keywords
Sustainable Development Goals
ASJC Scopus subject areas
Keywords
- Congenital adrenal hyperplasia, Fludrocortisone, Hydrocortisone, Salt-wasting congenital adrenal hyperplasia, Sodium chloride supplementation