The adrenocorticotropic hormone (ACTH) levels were not tested due to administrative problems; however, the reported findings were considered sufficient to corroborate the diagnosis of CAH due to 11-beta-hydroxylase deficiency with a compromise to sexual differentiation by virilization (Prader stage V). Here, POMC is linked to congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency.