<prompt> A 10 day old male pseudohermaphrodite child with 46 XY karyotype presents with BP of 11080 mmHg. Most likely enzyme deficiency is:21 hydroxylase17 hydroxylase11 hydroxylase3-beta hydroxylase  <response>: 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 