ea0021p40 | Clinical practice/governance and case reports | SFEBES2009
, Munigoti Srinivasa
, Agarwal Neera
, Davies Steve
, Rees Aled
A 46-year-old gentleman presented with a history of general lethargy, weight gain, limb weakness, easy bruising and severe back ache. Examination showed central obesity, proximal myopathy, with marked thinning and extensive bruising of the skin. His blood pressure and glycemic control were suboptimal and resistant to treatment. Routine blood tests including a chest X-ray were normal. An overnight dexamethasone suppression test showed failed serum cortisol suppression (749 nmol...