POMC and congenital adrenal hyperplasia: In CAH, a low level of cortisol causes ACTH hyperproduction and secretion, resulting in adrenocortical hyperplasia; in 17OHD, accumulation of progesterone and pregnenolone occurs, as well as overproduction of 17-desoxycorticosteroids like deoxycorticosterone and corticosterone (11) – these were not determined in our patient because they were not available in our hospital.