A 6-year-old girl presents with early pubic hair development and accelerated linear growth. Vital signs reveal BP 145/92 mmHg, HR 88 bpm, RR 18, temp 37°C, SpO2 98%. Laboratory studies show serum cortisol 3 µg/dL (low), plasma renin activity <0.3 ng/mL/hr (low), serum potassium 2.8 mEq/L, and elevated 17-hydroxyprogesterone. No hirsutism is noted. Which of the following is the most likely diagnosis?

1. A)Pheochromocytoma
2. B)11-beta hydroxylase deficiencyGABARITO
3. C)21-hydroxylase deficiency
4. D)17-alpha hydroxylase deficiency
5. E)Primary hyperaldosteronism