CONCLUSION
Classic congenital adrenal hyperplasia, although rare, can present with a devastating picture of hypoglycemia and salt-wasting crisis as seen in this case. Although female patients present with signs of virilization, this male child presented with hyperpigmentation of his genitalia with additional concerns of failure to thrive. There is an increased risk for cognitive impairment as a consequence of the presentation seen with this disorder and thus timely diagnosis and management are crucial. This case highlights the need for neonatal screening for the CAH which is currently not a mandatory practice in some countries. Early diagnosis through screening at birth can contribute to better outcomes and prognosis.