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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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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.