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How is CAH inherited? CAH is a type of inherited disorder called "autosomal recessive." This means that if two parents are CAH carriers (have the gene for CAH but not the disorder), then their children have a 25 percent chance (1 in 4) of being born with CAH.
What happens in congenital adrenal hyperplasia? In congenital adrenal hyperplasia (CAH), a mutation (genetic change) causes the adrenal glands to make too little cortisol. In the most common type of CAH, called 21-hydroxylase deficiency, the adrenal glands also might not make aldosterone.
