Cushing syndrome Quiz: Ace Your Exams
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A 51-year-old woman comes to her outpatient provider with complaints of fatigue and weakness. The symptoms began 6 months ago. Her past medical history is notable for hypertension and type 2 diabetes mellitus. The patient is currently taking lisinopril and metformin. She consumes 4-6 beers per week. Her pulse is 86/min and blood pressure is 152/94 mmHg. BMI is 32 kg/m2. Physical examination reveals bilateral muscle weakness in the upper and lower extremities. Truncal obesity is present. Skin changes are observed on the patient’s back and the findings are shown below:

Reproduced from: Wikimedia Commons
Similar changes are also noted on the patient’s abdomen. Which of the following best describes the pathophysiology of this patient’s skin findings?

Reproduced from: Wikimedia Commons
Similar changes are also noted on the patient’s abdomen. Which of the following best describes the pathophysiology of this patient’s skin findings?
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