新生儿，生后8天起，反应差，进食少,伴呕吐、体重下降。查体：两眼凹陷，皮肤弹性差，皮肤黏膜色素增深，女性外阴。血钠120mmol/L，血钾6.5mmol/L，染色体核型为46,XY，该患儿最可能的诊断是

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