Patient: Sarah, a 7-year-old girl, was diagnosed with 21-hydroxylase deficiency (21-OHD) form of CAH at 3 months old due to ambiguous genitalia. She underwent corrective surgery shortly after diagnosis and has been on glucocorticoid and mineralocorticoid replacement therapy since then. Presentation: Sarah’s parents brought her to the endocrinology clinic with concerns about her recent rapid … Continue reading Navigating the ACTH Enigma in a Young Girl with CAH