↓ Aldosterone↑ 11-deoxycorticosterone (results in ↑ BP)↓ Cortisol↑ Sex hormones↑ BP↓ K⁺

Labs: ↓ renin activity

Presentation: - XX: virilization

All congenital adrenal enzyme deficiencies are characterized by skin hyperpigmentation (due to ↑ MSH production, which is coproduced and secreted with ACTH) and bilateral adrenal gland enlargement (due to ↑ ACTH stimulation).