Too much acid in the blood, called metabolic acidosis (pronounced met-uh-BOL-ik as-i-DOH-sis).If undiagnosed, symptoms of classic salt-wasting CAH appear within days or weeks of birth and, in some cases, death occurs. Too much sodium is lost in urine (thus the name, "salt-wasting"). In this type of CAH, the adrenal glands make too little aldosterone, causing the body to be unable to retain enough sodium (salt). Salt-wasting CAH is the severe form of classic 21-hydroxylase deficiency. 2 About two-thirds of people with classic 11-hydroxylase deficiency also have high blood pressure (hypertension). Symptoms of classic CAH due to 11-hydroxylase deficiency are similar to those of simple virilizing CAH. Symptoms of classic CAH due to 21-hydroxylase deficiency (the most common type of CAH) can be grouped into two types according to their severity: salt wasting and simple virilizing (also called non-salt wasting).
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