Abstract
Patients with Cushing's syndrome have grossly raised concentrations of circulating corticosteroids. Treatment may result in unmasking of steroid dependent conditions. We report a case of sarcoidosis presenting after resection of an adrenocortical adenoma. A 42 year old white woman presented in 1993 with a six year history of weight gain (30 kg), depression, amenorrhoea, and hirsutism. She had a past history of hypertension and diabetes. She was obese (133 kg; body mass index (weight over height squared) 43.4) with a centripetal distribution of fat, moon face, buffalo hump, hirsutism, and chemosis. Blood pressure was 190/120 mm Hg and there was no other physical abnormality. Routine haematological and biochemical profiles were normal. A random blood glucose concentration was 11.3 mmol/l. The patient was admitted for investigation. Both low dose …
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