KROK 1 2013 – Question 30 · KROK (Medicine) · Pathophysiology

A 38-year-old female patient complains of general weakness, cardiac pain, increased appetite, no menstruation. Objectively: the height is 166 cm, weight 108 kg, the patient has moon-shaped face, subcutaneous fat is deposited mainly in the upper body, torso and hips. There are also blood-red streaks. Ps- 62/min, AP160/105 mm Hg. Which of the following diseases is the described pattern of obesity most typical for?

  1. A. Cushing pituitary basophilism
  2. B. Alimentary obesity
  3. C. Insulinoma
  4. D. Babinski-Frohlich syndrome
  5. E. Myxedema
Hint

Combine the fat distribution, skin striae, hypertension and amenorrhoea and ask which hormonal excess accounts for the whole picture.

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