Hormonal evaluation results were adrenocorticotropic hormone (ACTH): 186 pg/mL (N: 3-46 pg/mL), basal cortisol: 8 μg/dL, renin: 836 pg/mL (N: 2.4-37 pg/mL) and aldosterone: 450 pg/mL (N: 20-700 pg/mL) - findings  which led to a preliminary diagnosis of PHA. The gene discussed is POMC; the disease is Pelger-Huet anomaly.