My son Tom has the non-salt losing type of CAH. He was diagnosed at the age of 3 and a half by the help of our brilliant health visitor. He had a chest infection he couldn't shake of and at first we all though it was asthma and he was started on ventolin. At the same time we had noticed for about a week that he had a couple of pubic hairs, he was also tall for his age. His genitalia had always been on the large size but not grossly so. we tended to notice it at the swimming pool in comparison to othersl. It was only when we mentioned this to our health visitor that she clicked with a lecture she remembered from her nurse education. Within a week he was on hydrocortisone and was doing really well. Any way for the last 4 years he has been doing well with hydrocortisone. At first 5mg and 5 mg, then 10mg 5mg and 5 mg. (The lunchtime one was troublesome as he sometimes forgot to remind his teacher when he was in school.) We do regular spit tests, about every 4 months. Last week he had a check up with the Paediatric Endocrinologist and he told us that he was starting to growth spurt again and his blood profile was escaping in the morning. He changed Toms medication to prednisolone 4 mg in the morning and 2 mg in the evening. Tom of course is happy with this, less times he has to take them and he's got embarassed about being different from his friends. I've just done a literature search on the net and all I can find is that prednisolone is given to adults with CAH and not children. Does anyone have any advice or experience of this as we are concerned about side effects and so on.