Adrenal insufficiency Quiz: Ace Your Exams
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A 52-year-old woman with a history of rheumatoid arthritis presents to the primary care clinic for evaluation of fatigue and weight loss. She had been taking 20 mg of prednisone daily for the past five months but decided to stop taking it 2 weeks ago after feeling decreased joint pain and stiffness. BMI is 31 kg/m2. Temperature is 36.8 °C (°F), blood pressure is 103/68 mmHg, pulse is 98/min, respiratory rate is 18/min, and oxygen saturation is 97% on room air. Physical examination is significant for central obesity, and purple striations of the skin. Laboratory evaluation is unremarkable. Which of the following is the most likely diagnosis?
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