Department of Endocrinology (insert letterhead)
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To whom it may concern

Name: DOB: MRN:


Has Congenital Adrenal Hyperplasia, which causes adrenal insufficiency.

Illness may result in a life-threatening adrenal crisis if not treated promptly because of low cortisol and glucose and salt depletion.

In the event of a significant intercurrent illness, such as a fever above 38 degrees Celsius, give an increased dose of oral hydrocortisone ____ mg, (3 or4) times a day.

In the event of diarrhoea/vomiting or reduced level of consciousness, please give an intramuscular injection of hydrocortisone ______mgs (= mls) without delay: (using 100mgs/2ml vial)

Blood glucose should always be monitored when unwell.

In the event of surgery or general anaesthesia, please give hydrocortisone ______mg IV with induction.

For further information or advice please contact the paediatric endocrinologist on call or after hours call through the hospital switchboard on Tel: _______________.

Child should always wear a “Medical Alert” bracelet: inscribed “Cortisol Deficiency”

Yours sincerely,


Dr _____________________

Paediatric Endocrinologist


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