title: Excessive concern with physical appearance leading to a diagnosis of adrenal adenoma.
abstract: We report an unusual case of Cushing's syndrome manifested by anxiety over body image in a 26-year-old nurse. Initial presentation was a 'dermatological non-disease'. Clinical signs became increasingly evident during the course of the disease, justifying an adrenal gland evaluation which showed a secreting adrenocortical adenoma. Surgical treatment led to recovery with return to normal appearance and cessation of her aesthetic complaints. Our observation shows that persistent aesthetic complaints may sometimes reveal early hypercorticism.
authors.affiliation: Service de Médecine Interne, Hôpital de la Timone, Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Granel
authors.forename: J
authors.initials: J
authors.lastname: Serratrice
authors.forename: P
authors.initials: P
authors.lastname: Berbis
authors.forename: J
authors.initials: J
authors.lastname: Rey
authors.forename: A
authors.initials: A
authors.lastname: Denizot
authors.forename: P
authors.initials: P
authors.lastname: Disdier
authors.forename: P J
authors.initials: PJ
authors.lastname: Weiller
mesh_terms: D018246:Adrenocortical Adenoma / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D003480:Cushing Syndrome / Q000209:etiology*; D004487:Edema / Q000175:diagnosis / Q000523:psychology; D004890:Erythema / Q000175:diagnosis / Q000523:psychology; D005148:Facial Dermatoses / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis