11-28-2007, 02:46 PM
male patient aged 22 years old,medical student,complaining from purple reddish striea on his abdomen and flanks.
blood pressure 130/90.with visible suprastrnal pulsations.
investigation done and relieved the following
fasting blood sugar----?73.6 mg%
post prandial blood sugar--->115.8 mg%
urine sugar.acetone,albumin---->nil
ACTH am---?21.8 pg/ml
ACTH pm----?29.1
serum cortisol am--->13.9 ug/dl
serum cortisol pm---?15.2 ug/dl
serum potassium--->3.1 mmol/ml
what is the most accepted diagnosis?
please help
i suggest it may be cushing syndrome or anixety disorder(cortisol anti stress) waiting for ur feed back
thanx
blood pressure 130/90.with visible suprastrnal pulsations.
investigation done and relieved the following
fasting blood sugar----?73.6 mg%
post prandial blood sugar--->115.8 mg%
urine sugar.acetone,albumin---->nil
ACTH am---?21.8 pg/ml
ACTH pm----?29.1
serum cortisol am--->13.9 ug/dl
serum cortisol pm---?15.2 ug/dl
serum potassium--->3.1 mmol/ml
what is the most accepted diagnosis?
please help
i suggest it may be cushing syndrome or anixety disorder(cortisol anti stress) waiting for ur feed back
thanx