The clinical picture of CAH is defined by the absence of cortisol, leading to excessive secretion of ACTH and an accumulation of androgens and DOCA, and thus, patients present with alterations in sexual development, such as ambiguous genitalia in women, a large penis for their age in men, early puberty, or high stature; additionally, the accumulation of mineralocorticoids can lead to the development of hypertensive disorders and severe types of hydroelectrolytic imbalances of unclear pathophysiology 1,2,11,12. Here, POMC is linked to congenital adrenal hyperplasia.