Endocrinology Cushing Adrenal

Bruising

The thin skin associated with Cushing’s syndrome makes these patients susceptible to easy bruising.

Patient 1

This is a previously healthy young man who presented with rapid weight gain and was ultimately diagnosed with Cushing’s syndrome from an ectopic source of ACTH. Despite imaging, the source was never located and the patient ultimately underwent bilateral adrenalectomy.

This patient also has moon facies, abdominal striae, buffalo hump, and thin skin.