Patient Encounter 2

EF is a 45-year-old woman who presents to the dermatologist for evaluation of facial acne. She has a history of a 11.4-kg (25-lb) weight gain, irregular menses, and frequent vaginal yeast infections over the past 2 years. During the review of systems, she also complains of increased facial hair growth and lower extremity muscle weakness. Physical exam reveals facial acne, facial hirsutism, truncal obesity, thin skin, and purple abdominal striae. Her past medical history is significant for hypertension, type 2 diabetes mellitus, hyperlipidemia, and lupus.

Which findings are suggestive of Cushing's syndrome?

Is there anything in the patient's history that would suggest an exogenous cause of the patient's presumed Cushing's syndrome?

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