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Pediatrics
A previously healthy 6 weeks old female infant is found unresponsive in her crib. In the emergency department, she is notedto be well developed and well nourished with normal blood pressure and appearance of the genitalia but with increased pigmentation other skin. Blood glucose level is 30 mg/dl.. The most likely diagnosis is:
CAH due to 21-alpha hydroxylase deficiency
Familial glucocorticoid deficiency
Cushing syndrome
Insulinoma
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