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If it's certain that she has more than adequate cortisol levels yet her androgens refuse to suppress, ketoconazole may be an option. I can find a fair number of reports citing it's use in children with precocious pseudo-puberty from a variety of causes including cah. The ketoconazole dosing recommendation for children with precocious pseudo-puberty was to keep it at less than 200mg/day in order to avoid it's interfering with natural cortisol production.
