NCIt definition : A classic form of congenital adrenal hyperplasia that is characterized by severe 21-hydroxylase
deficiency, resulting in glucocorticoid and mineralocorticoid deficiency, without
clinically significant salt wasting, and androgen excess, which causes virilization
in female infants.;
Alternative definition : NICHD: Congenital adrenal hyperplasia caused by loss-of-function mutations in the
CYP21A2 gene associated with decreased or absent activity of the 21-hydroxylase enzyme,
resulting in inefficient steroidogenesis of glucocorticoids and mineralocorticoids.
The clinical manifestations of the deficiency are dependent on the degree of reduction
of enzymatic activity.;