A 45-year-old woman presents with progressive proximal muscle weakness, purple striae, central obesity, and hypertension. Laboratory studies show elevated 24-hour urinary free cortisol and a plasma cortisol of 8 μg/dL at 8 AM. The low-dose dexamethasone suppression test shows cortisol of 18 μg/dL. Which of the following is the most likely diagnosis?

  1. A)Adrenal insufficiency
  2. B)Primary hyperaldosteronism
  3. C)Cushing syndromeGABARITO
  4. D)Thyroiditis
  5. E)Pheochromocytoma

Explicação

This patient has classic Cushing syndrome with truncal obesity, proximal weakness, purple striae, and hypertension. The elevated 24-hour urinary free cortisol and loss of normal diurnal variation (8 AM cortisol >5 μg/dL) are diagnostic. Failure of suppression ... Ver explicação completa e trilha adaptativa →

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