Clinical evaluations showed severe IUGR (birth weight 1850 g), disproportionate short stature (height 88 cm, −4.4 Z score), metaphyseal dysplasia, adrenal insufficiency (ACTH 1110 pg/mL, low cortisol), and dysmorphic features (frontal bossing, low‐set ears). Here, POMC is linked to Adrenal insufficiency.