A few months ago my husband and I notice the onset of pubic hair growth and a bit of body odor under one of my three-year-old daughter’s arms.  Blood tests were performed.  Unfortunately, I’m not sure exactly which hormones, etc., were tested (testosterone was one); however, only one returned elevated - DHEA.  Her DHEA level was elevated to 89 (from what I understand "normal levels" are between 0-50?!?).  This then lead to a bone age test, which returned at three years six months (her chronological age is three years four months), which is apparently normal.  Although we are scheduled to see a pediatric endocrinologist very soon, after our pediatrician reviewed the results with the endo., he mentioned CAH might be a possibility.  First of all, can anyone tell me what it means if her DHEA level is elevated?  Secondly, our state requires prescreening for several birth defects, including CAH - everything was normal!  Is it possible that she really has CAH or could it be Late Onset CAH.  Also, can her bone age continue to advance?  Lastly, I do not want her medicated if CAH is not a confirmed diagnosis.  Do any of you have any suggestions?  Should I demand an ACTH stimulation test?  Any suggestions you may have are greatly appreciated, as this is all very new, confusing and scary!  Thanks J