APOB and obesity due to melanocortin 4 receptor deficiency: The median triglyceride, low-density lipoprotein, and apolipoprotein B levels were 74 mg/dL (IQR: 62-125), 55.3 mg/dL (IQR: 30-84.5), and 39.5 mg/dL (IQR: 35.2-43), respectively.<h4>Conclusion</h4>FHBL should be considered a potential diagnosis in children with fatty liver and may coexist with other contributing etiologies such as obesity.