Which statement best describes an additional manifestation observed in this Cushing's syndrome case?

Which statement best describes an additional manifestation observed in this Cushing's syndrome case?

• A. Petechiae and abdominal purplish red striae on the abdomen
• B. Decreased axilla and pubic hair
• C. Tachycardia and bulging eyes
• D. Hypotension and hypoglycemia

Answer: (A)

Excess cortisol in Cushing’s syndrome weakens skin and tissues, making the skin thin and fragile and the small blood vessels more prone to breaking. This produces easy bruising (petechiae) and purple, reddish-striated markings on the abdomen. Those skin-changing features are classic added manifestations of Cushing’s, so the statement about petechiae and abdominal purplish-red striae best fits the scenario. The other possibilities don’t align with Cushing’s manifestations: reduced axillary and pubic hair points more to androgen deficiency; tachycardia with exophthalmos suggests thyroid disease; and hypotension with hypoglycemia is more typical of adrenal insufficiency rather than cortisol excess.

Excess cortisol in Cushing’s syndrome weakens skin and tissues, making the skin thin and fragile and the small blood vessels more prone to breaking. This produces easy bruising (petechiae) and purple, reddish-striated markings on the abdomen. Those skin-changing features are classic added manifestations of Cushing’s, so the statement about petechiae and abdominal purplish-red striae best fits the scenario.

The other possibilities don’t align with Cushing’s manifestations: reduced axillary and pubic hair points more to androgen deficiency; tachycardia with exophthalmos suggests thyroid disease; and hypotension with hypoglycemia is more typical of adrenal insufficiency rather than cortisol excess.