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Pediatrics General 2c71e286

A 10 day old male pseudohermaphrodite child with 46 XY karyotype presents with BP of 110/80 mmHg. Most likely enzyme deficiency is:

A
21 hydroxylase
B
17 hydroxylase
C
11 hydroxylase
D
3-beta hydroxylase
High-Yield Explanation
Common symptoms of 17 hydroxylase deficinecy, include mild hypocoisolism, ambiguous genitalia in genetic males or failure of the ovaries to function at pubey in genetic females, and hypeension (respectively). Ref: Kliegman, Behrman, Jenson, Stanton (2008), Chapter 577, "Congenital Adrenal Hyperplasia", In the book, "NELSON TEXTBOOK OF PEDIATRICS", Volume 2, 18th Edition, New Delhi, Page 2360

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