Late-Diagnosed 46, XX Congenital Adrenal Hyperplasia Presenting as Male Phenotype in Adolescence: Clinical and Gender Assignment Challenges
Background: Congenital adrenal hyperplasia (CAH), most commonly caused by 21-hydroxylase deficiency, can lead to varying degrees of virilization in 46, XX individuals. Early diagnosis is important for appropriate medical care and informed gender assignment. This case is notable for its late presentation in an adolescen...