1. A 4-month-old male baby is brought to the endocrinologist by his mother with the concern that the

1. A 4-month-old male baby is brought to the endocrinologist by his mother with the concern that the baby looked too “fat and big” and had red-colored hair. She is surprised because both she and her husband have black hair. Baby looks very lethargic. Vitals are significant for hypotension. Laboratory studies reveal decreased adrenocorticotropic hormone (ACTH). Which of the following is the MOST LIKELY diagnosis? A. POMC null mutation B. MC4R haploinsufficiency C. AgRP null mutation D. NPY gene mutation

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