ABSTRACT
A 34-year-old woman goes to see her GP because she is troubled by a collection of symptoms. She has noticed that over the past few months her face has become rounder and that her cheeks have become redder. In particular, she is perturbed by the development of a small quantity of facial hair. She has put on weight around her abdomen but is puzzled by this because her upper arms seem to be thinner despite the fact that she takes regular exercise (although she has found this harder to do since the problems began).The patient has also remarked on a tendency to bruise easily.
