Pertinent physical examination findings included facial acneiform lesions, moon facies, and supraclavicular fullness.
Physical examination was unremarkable save for the presence of facial acneiform lesions, moon facies, and supraclavicular fullness which were already noted on admission.
In her first visit, we found several symptoms such as truncal obesity, moon facies, purple steria on her upper and lower limbs and abdomen, excessive edema, echimotic patches of limbs with suppurative lesions (due to superimposed bacterial infections), and wet skin (figures 1 and 2).
A typical cushingoid body habitus is reached by adipose tissue deposition that characteristically results in moon facies, a buffalo hump, and truncal obesity.
Classical signs of moon facies, weight gain, central distribution of fat with supraclavicular and subscapular fat pads, hypertricosis, plethora, skin thinning with appearance of telangiectasias are often present.8 Complications due to mineralocorticoid and androgenic activity of steroids like hypertension, acne and hirsutism, often seen in endogenous CS are less common in iatrogenic causes.8,9
Diagnosis of iatrogenic CS was made on the basis of history of using nappy rash ointment and presence of classical cushingoid features in the form of moon facies, hypertricosis, plethora, central distribution of fat and obesity (Figures 1-3).
as a complication of steroid therapy was observed in one case as shown in Figure 2.
Pertinent physical exam findings outside of his surgical site included diffusely thinning hair, moon facies
, facial plethora, increased supraclavicular and dorsocervical fat pads, thoracic and abdominal striae, thinned skin overlying his upper and lower extremities, and lower extremity edema (FIGURE 1).