Endocrine Case Study
A 54-year old man finally goes to the doctor at the urging ofhis wife. His face, neck and shoulders have become puffy while hislimbs are thinning. He believes he is in good shape because all hisfriends are gaining weight while he’s just shifting his around. Heclaims to eat a relatively healthy diet and has no allergies orother health problems. He’s not sure why his arms and legs seem tobe getting thinner, even though he still does a lot of yard workaround the house, but he hasn’t felt as strong lately (“but hey,I’m 54”). On observation, he has a pulse of 65 bpm and a bloodpressure of 150/95. The only other “different” things he’s noticedis that he seems to be bruising more easily than usual.
The patient takes no medications other than an occasional doseof ibuprofen. The patient went to the hospital for a blood draw andtest the next morning. The results are:
Plasma ACTH = 120 pg/mL Plasma cortisol = 35 mcg/dL Serum TSH = 3.3mcU/mL Serum aldosterone = 18 ng/dL Serum insulin = 35 mcU/mL SerumT4 = 1.4 ng/dL Plasma glucose = 185 ng/dL Hemoglobin A1c = 5.5%
Diagnosis:
What is the evidence of Diagnosis:
