16 year old girl is brought by her mother to her physician


Question Number 1090
Question:
16 year old girl is brought by her mother to her physician. Her mother complains that her daughter's breasts have failed to develop at all. The girl has not had her first menstruation either. On inspection she is noted to be short and obese and is found to have abundant pubic and axillary hair and a receding hairline. On investigation she is found to have a 21-hydroxylase deficiency. The most likely diagnosis is
a) constitutional delay
b) hypothyroidism
c) Hand-Schuller-Christian Disease
d) congenital adrenal hyperplasia
e) craniopharyngioma


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