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  • Resolution of the physical features of Cushing's syndrome in a patient with a cortisol secreting adrenocortical adenoma after unilateral adrenalectomy

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Resolution of the physical features of Cushing's syndrome in a patient with a cortisol secreting adrenocortical adenoma after unilateral adrenalectomy
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  1. John Paul Montinola Quisumbing1,
  2. Mark Anthony Santiago Sandoval2
  1. 1Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines
  2. 2Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  1. Correspondence to Dr John Paul Montinola Quisumbing, ipad100183{at}yahoo.com

https://doi.org/10.1136/bcr-2016-215693

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    Description

    A 37-year-old woman developed clinical manifestations of Cushing's syndrome over a span of 2 years. Physical examination revealed features that best describe Cushing's syndrome, such as wide purple striae (>1 cm) over the abdomen, facial plethora and easy bruisability.1 Other features observed were hypertension, moon facies, acne, a dorsocervical fat pad, central obesity and dyslipidaemia. The diagnosis of hypercortisolism was confirmed using a 1 mg overnight dexamethasone suppression test (19.7 ng/dL, N: <1.8) and 24 h …

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    Footnotes

    • Twitter Follow John Paul Quisumbing at @jpquisumbingmd

    • Contributors JPMQ worked up the case and wrote the case report. MASS reviewed the case report and critically appraised it. JPMQ incorporated his suggestions.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.