Q: My daughter is 7 and has started to develop body odor. Is this normal for a child with CAH?

A: An adult-like body odor in a young child is a sign of androgens, which may come from CAH or sometimes from puberty. If your daughter has body odor or acne or a growth spurt, it may be a sign that her medication needs to be adjusted. Please consult with your endocrinologist to check her labs and make sure that she is on the correct dose.