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45013 Surgery

A previously healthy 6 week old female infant is found unresponsive in her crib. In the emergency depament, she is noted to be well developed and well nourished with normal blood pressure and appearance of the genitalia but with increased pigmentation of her skin. Blood glucose level is 30 mg/dL. The most likely diagnosis is aEUR’

ACAH due to 21 alpha hydroxylase deficiency
BFamilial glucocoicoid deficiency
CCushing syndrome
DInsulinoma
Surgery
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