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Asian Journal of Sports Medicine

Sports Medicine Research Center, TUMS

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https://doi.org/10.5812/asjsm.34694

Congenital Adrenal Hyperplasia in an Elite Female Soccer Player; What Sports Medicine Clinicians Should Know about This?

Author(s):
Hooman AngooraniHooman Angoorani2, Zohreh HaratianZohreh Haratian2, Farzin HalabchiFarzin HalabchiFarzin Halabchi ORCID2,*
2Department of Sports and Exercise Medicine, Tehran University of Medical Sciences, Tehran, Iran
Asian Journal of Sports Medicine:Vol. 3, issue 3; 209-213
Published online:Aug 31, 2012
Article type:Case Report
Received:Feb 15, 2012
Accepted:Jun 10, 2012
How to Cite:Angoorani H, Haratian Z, Halabchi F. Congenital Adrenal Hyperplasia in an Elite Female Soccer Player; What Sports Medicine Clinicians Should Know about This?. Asian J Sports Med. 2012;3(3):34694. doi: https://doi.org/10.5812/asjsm.34694

Abstract

Background:

Congenital Adrenal Hyperplasia (CAH) refers to a group of congenital conditions characterized by disordered cortisol synthesis. The correlation between CAH and sports performance has been less studied before and there is very limited information regarding the impacts of this congenital disease on sports performance. Probably, there are some limitations for patients who suffer from CAH in sports, but at the same time, they may enjoy some advantage due to the probable effect of endogenous hyperandrogenism on their exercise performance.

Case Presentation:

The case is a 14 - year old girl with male phenotype who is a known case of congenital adrenal hyperplasia. She plays in the women's national soccer team of under 16. She has been in the first division league of indoor soccer for 4 years and was also selected in the preparation training camp of women's football team for Singapore's youth Olympic Games. Her illness and dependence on corticosteroid have caused some concerns for her participation in the international competitions of women. However, following consultations with the Therapeutic Use Exemption (TUE) Committee of games organization, she received TUE to use corticosteroid only within the games period. Despite all her problems, she is now playing in the Second Division League of indoor soccer.

Conclusions:

A female adolescent with CAH may compete at the high level of outdoor and indoor soccer. However, there are many questions regarding the advantages and disadvantages of this congenital disorder and its treatment on sports related issues.

Keywords
Congenital Adrenal Hyperplasia
Doping
Gender Identity
Sports
Soccer
Therapeutic Use Exemption

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