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49849 Pediatrics

A previously healthy 6 week old female infant, is found unresponsive in on the bed. 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. Her blood glucose level is 30 mg/dL. What is the most likely diagnosis?

ACAH due to 21 alpha hydroxylase deficiency
BFamilial glucocoicoid deficiency
CInsulinoma
DCushing syndrome
Pediatrics
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