Congenital adrenal hyperplasia is a congenital disorder in which a deficiency exists in any of the enzymes necessary for the synthesis of cortisol. infants of both sexes are affected, although boys are not diagnosed at birth unless of enlarged genitalia. female infants often have ambiguous genitalia because of the oversecretion of adrenal androgens. what are the manifestations of the ambiguous genitalia caused by congenital adrenal hyperplasia?