A 30-year-old woman is admitted to the hospital. She has tru…
A 30-year-old woman is admitted to the hospital. She has trucal obesity, buffalo humpback, moon face, purple striae, hypertension, hyperglycemia, increased facial hair, acne, and amenorrhea. The physician orders endocrine testing. The results are as follows: Urine free cortisol—increased Serum cortisol (8 a.m.)—increased Plasma ACTH—decreased Dexamethasone suppression test Overnight low-dose—no suppression of serum cortisol High dose—no suppression of serum cortisol What is the most probably diagnosis?
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