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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 7, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What do you call this appaerance and what's your diagnosis?

    I'll post the correct answer in about three days!

    DDx.jpg
     

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  2. lakmalDJ

    lakmalDJ Famous Member

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    cushinoid appearance..cushings syndrome
     

  3. dupuytren

    dupuytren Bronze Member

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    Cushing Syndrome
     

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  4. sundarto

    sundarto Bronze Member

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    cushingoid appearance
     

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  5. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Cushing's Syndrome
     

  6. beakardos

    beakardos Famous Member

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    It's Cushing's Syndrome
     

  7. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer

    Lemon on sticks appaerance in Cushing's syndrome.

    It may seem silly, but because of the central obesity and wasted limbs, I can imagine this is compared to a lemon on sticks. Other signs of Cushing's syndrome include a moon face, buffalo hump, supraclavicular fat pads and striae (and hirsutism in female patients). Other findings include a high midnight cortisol and failure of cortisol suppression in the dexamethasone suppression test.

    The chief cause is oral steroids. Endogenous causes are rare: 80% are due to elevated ACTH and of these a pituitary adenoma (Cushing's disease) is the commonest cause.
     

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