A 32-year-old woman presents to her obstetrician/gynecologist with com-
plaints of irregular periods, hirsutism, and mood swings. She also reports
weight gain and easy bruising. On examination, she is found to have truncal
obesity, a round “moon” face, hypertension, ecchymoses, and abdominal
striae. The patient is given a dexamethasone suppression test which reveals an
elevated level of cortisol.
What is the likely diagnosis?
What would an elevated adrenocorticotropic hormone (ACTH) level
previous page 457 Case Files   Biochemistry read online next page 459 Case Files   Biochemistry read online Home Toggle text on/off