1 INTRODUCTION
Congenital adrenal hyperplasia (CAH) refers to a family of autosomal recessive disorders of adrenal steroidogenesis, in which each variant is characterized by a specific enzyme deficiency that impairs cortisol production by the adrenal cortex. The enzyme most commonly affected is 21- hydroxylase (21-OH)1 followed by 11-beta-hydroxylase (11βOH), which accounts for 5–8% cases of CAH, with an incidence of approximately 1:100,000.2