Quiz Yourself

[Figure 1]

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This 23 year-old female described weight loss, new cystic acne on her chin and cheeks, neck swelling, and the rapid appearance of stretch marks on her abdomen, buttocks, legs, and forearms. She also reported a past medical history of hypothyroidism, depression, and anxiety. What clinical diagnosis is demonstrated by this patient?

a) Hypothyroidism
b) Cushing's syndrome
c) Polycystic ovarian syndrome
d) Panhypopituitarism

Post your response in the thread. Answer will be posted in 24 hours.

 

[Figure 1]

The answer is b) Cushing's syndrome

Cushing's syndrome is the constellation of symptoms and signs caused by excess cortisol in the bloodstream. Classically, patients develop facial fullness, weight fluctuations, violaceous striae, and acne. Long-term complications include immunosuppression, accelerated atherosclerosis, osteoporosis, and cataracts.