Adrenal Cushing syndrome shortly after adrenal insufficiency.

摘要

A 57-year-old woman presented to the emergency department because of a 1-month history of abdominal pain, nausea, vomiting, fatigue, diarrhea, and weight loss. Before this episode, the patient had had an 11.3-kg weight gain during a 2-year period that resulted in truncal obesity after 3 intra-articular injections of cortisone (dose unknown) in the right hand, elbow, and shoulder, respectively. She also had harbored an adrenal mass that was incidentally identified a couple of years before but without further work-up.