Sara Haines Cushingsyndrome case study
Sara Haines is a 38-year-old who runs Grand Central Restaurant atToowoomba shopping centre.She presented to St Vincent’s Private Hospital, Toowoombacomplaining of drastic weight gain over six months, significantfacial hair growth, menstrual abnormalities, and both excessivethirst and appetite. Recently, Sara also feels dull and depressed,does not have much energy, and has stopped performing allher favourite activities including tennis at Action Indoor SportsStadium.
Sara is a successful and busy business person in Toowoomba, never smoked and only consumes alcohol in moderationat social events. She has several allergies (House dust mites,cockroaches, and dog’s dander) and is not taking any medicationsother than a daily multivitamin tablet and betamethasone (asneeded) for her asthma (used for many years). On clinicalexamination, the clinician, Dr John Smith noticed protuberant withstriae and minimal bruising in her abdomen, and no abdominaltenderness, and both upper and lower extremities show areas ofhyperpigmentation. Laboratory results confirmed that her cortisollevels were high indicating Cushing syndrome.
