ea0064029 | ACTH-dependent hypercortisolism: always follow your nose | BES2019
Karen Decaestecker
, Veerle Wijtvliet
, Peter Coremans
, Nike Van Doninck
A 41-year-old woman presented with a puffy face since five months. She experienced alopecia, hirsutism, easy bruisability, amenorrhea and proximal muscle weakness. Clinical examination revealed a moonface, centripetal obesity, proximal muscle atrophy, thinned scalp hair, hyperpigmentation in sun-exposed neck region, ecchymosis and arterial hypertension grade 1. Blood analysis showed elevated morning cortisol, elevated morning ACTH of 66.1 pg/ml (normal 1060), hypokalemic...