Abstract
The objective of this study was to investigate the initial presenting features of children with classical congenital adrenal hyperplasia (CAH).
This is a descriptive retrospective study over a period of 5 years. Data analysis was performed using Statistical Package for Social Science.
Ambiguous genitalia (AG) was the commonest initial presentation marking 50.7% of the patients. On the other hand, 33.3% presented with a salt-losing crisis, 4.1% of whom presented with shock, while 14.5% had a combined presentation of both AG and a salt-losing crisis.
CAH should be highly suspected in all females born with AG. Contrarily, affected male newborns more frequently present with a salt-losing crisis, and considering the recent institution of newborn screening in Saudi Arabia, earlier detection in these children is anticipated.