A 33-year-old woman went to the doctor concerned about the development of bilateral, wide pink striae on her legs and abdomen. She reported that she had quickly gained a bunch of weight around her middle, despite making no changes to diet or exercise over the past few months. She also felt her face looked rounder and her cheeks had gone from rosy to having a pronounced red complexion from telangiectasia. She also started to grow excess facial hair. Other things she thought might be important were easy bruising and failure to get pregnant despite trying for more than 18 months.
Is it steroid atrophy, diabetes mellitus, hirsutism, or Cushing syndrome?
Check out the differential we created in VisualDx. Does it match yours?
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