Hospitalist Presbyterian Rust Medical Center Rio Rancho, New Mexico, United States
Disclosure(s):
Bridget Celeste Lee, OMS III: No financial relationships to disclose
A male patient in his thirties presented to a hospital in central New Mexico with severe bilateral lower extremity edema, erythema, and pain, prompting admission for management of congestive heart failure. Over the preceding three years, he experienced a rapid 100-pound weight gain over six months followed by progressive decline in overall health. His condition had previously been attributed to type 2 diabetes mellitus, congestive heart failure, and presumed alcohol-related liver disease, despite patient-reported sobriety. During this admission, further evaluation led to the diagnosis of Cushing Disease. The diagnosis was ultimately prompted by consideration of hypercortisolism by a consulting cardiologist. This case highlights the consequences of delayed diagnosis of Cushing disease, underscores the importance of a thorough physical examination, and illustrates how physician bias may contribute to diagnostic error.
*Unless otherwise noted, all abstracts presented at ENDO must not be released to the press or the public until the date and time of presentation. For oral presentations, the abstracts are embargoed until the session begins. The Endocrine Society reserves the right to lift the embargo on specific abstracts that are selected for promotion prior to or during ENDO.*
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