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)

Chief complaint

• A 55-year-old female, known case of Cushing syndrome with an initial complaint of facial puffiness, truncal obesity, high blood pressure, muscle weakness, abdominal purplish striae, facial acne, menstruation disorder from 30Y (1378) with multiple endocrine surgeries and persistent symptoms, who referred for follow-up treatment.

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)