Thus, inborn errors from cortisol biosynthesis such as StAR-defect, P450 side chain cleavage defect, 3β-hydroxysteroid dehydrogenase deficiency, 21-hydroxylase deficiency, 11-hydroxylase deficiency, 17-hydroxylase/17,20 lyase deficiency, and Smith Lemli Opitz syndrome could be excluded. Here, STAR is linked to congenital adrenal hyperplasia due to 3-beta-hydroxysteroid dehydrogenase deficiency.