An Unusual Case of Cushing's Syndrome

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Abstract
THIS report describes a patient with Cushing's syndrome who presented two unusual manifestations. In the first place, it is generally accepted that one of the cardinal features of Cushing's syndrome is the inability of small doses of dexamethasone or other potent corticosteroids to suppress endogenous adrenocortical function, as assessed by measurement of urinary 17-hydroxycorticosteroids (17-OHCS) and 17-ketosteroids (17-KS).1 In this patient, however, both laboratory and clinical evidence of a suppressive response was observed. In addition, she was unusual in that the disorder was associated with radiologic evidence of pituitary enlargement.Case ReportA 26-year-old single woman was admitted to the . . .