POMC and Adrenal insufficiency: Laboratory investigation was consistent with adrenal insufficiency: sodium (Na) 120 mEq/L, potassium (K) 6.9 mEq/L, chlorine (Cl) 96 mEq/L, adrenocorticotropic hormone (ACTH) 546 pg/mL, 17-hydroxyprogesterone (17-OHP) 29 ng/mL, and dehydroepiandrosterone sulfate (DHEAS) 1550 μg/dL.