This is an important question. This condition is called Congenital Adrenal Hyperplasia. As you can hear by the name of this condition, it is an inherited condition. It seems that your son has the cortisol deficiency form, but he does not lose salt. He also has high testosterone levels. He is likely to grow rapidly in early childhood,but without treatment would end up being shorter than average. With treatment he will grow normally and he will be a normal adult with normal life expectancy. Your son is on the correct treatment. Despite being on the correct treatment, due to the complex nature of CAH in children I would strongly recommend that he is under the care of a paediatric endocrinologist. These experts are quite difficult to find in private practice in South Africa, but your paediatrician should be able to refer you to an expert in your area. If you have any difficulty in locating a paediatric endocrinologist please let me know.
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