A 52-year-old woman comes to the general medicine clinic ...

symptoms: moon facies, truncal obesity, DM, hypertension, muscle wasting, osteoporosis, skin changes (easy bruising, striae, acne, virilization, hirsutism – hair growth in women), menstrual changes. diagnose source by determining ACTH levels and response to dexamethasone (inhibits pituitary ACTH production) Cushing’s Disease ................
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