Which physical feature supports the diagnosis of Cushing syndrome?
a. Weight loss and muscle wasting
b. Truncal obesity and moon face
c. Pallor and swollen tongue
d. Depigmented skin and eyelid lag
ANS: B
Weight gain is the most common feature and results from the accumulation of adipose tissue in the trunk, facial, and cervical areas. These characteristic patterns of fat deposition have been de-scribed as "truncal obesity," "moon face," and "buffalo hump."
Weight gain, not loss, is the most common feature of Cushing syndrome. Pallor is not associated with Cushing syndrome. The skin of the patient with Cushing syndrome is bronze in color.
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