20th August 2020

A 65-year-old retired Mathematics professor comes to see her GP to discuss her concerns about an increasing tan

A 65-year-old retired Mathematics professor comes to see her GP to discuss her concerns about an increasing tan that she has noticed over the creases of her arm and hand, despite not travelling anywhere or having much sun exposure. The GP finds nothing abnormal on clinical examination and visual fields are normal and intact. The GP notes that the patient had a surgical procedure for diagnosed Cushing’s syndrome 20 years ago and is on glucocorticoid and mineralocorticoid replacement treatment.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.