Case Presentation 03.04.1403

Patient history

• The patient is a 55-year-old woman from Tehran
• A known case of Cushing's disease from 1377-78
• Has two children (1367 & 1374)

Present illness

• Her first presentation is related to 1378, due to facial puffiness, truncal obesity, high blood pressure, muscle weakness, abdominal  purplish striae, facial acne, and menstruation disorder (from 6 months prior to referral), the following tests were used to make the initial diagnosis and will be further investigated :

• ACTH: 80 pg/ml (9-52)