A 3 day old baby boy is noted to have ambiguous genitalia at his postnatal check

A 3 day old baby boy is noted to have ambiguous genitalia at his postnatal check.

Investigations:

  • Sodium 125 mmol/L (133-146)
  • Potassium 5.2 mmol/L (3.4–6.0)
  • Urea 5.0 mmol/L (0.8-5.5)
  • Creatinine 70 micromol/L (21–75)/li>
  • Bicarbonate 22 mmol/L. (22-29)

What is the most likely diagnosis:

  1. Acute renal failure
  2. Congenital adrenal hyperplasia
  3. Diabetes insipidus
  4. Hyponatraemic dehydration
  5. Renal tubular acidosis

B. Congenital adrenal hyperplasia

Explanation

https://bestpractice.bmj.com/topics/en-gb/868