Differentials

Obesity

SIGNS / SYMPTOMS
INVESTIGATIONS
SIGNS / SYMPTOMS

Usually lack facial plethora, unexplained bruising, proximal muscle weakness, violaceous striae, supraclavicular fullness, and osteoporotic fractures.[23]

INVESTIGATIONS

Normal late-night salivary cortisol, dexamethasone suppression testing, or 24-hour urinary free cortisol.

Obesity in adults

Metabolic syndrome

SIGNS / SYMPTOMS
INVESTIGATIONS
SIGNS / SYMPTOMS

Usually lack facial plethora, unexplained bruising, proximal muscle weakness, violaceous striae, supraclavicular fullness, and osteoporotic fractures.[23]

INVESTIGATIONS

Normal late-night salivary cortisol, dexamethasone suppression testing, or 24-hour urinary free cortisol.

Metabolic syndrome

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