23/10/2025
Spot cases
A:Pigmentation at lips & buccal mucosa +hands+ nails
Age 55 yrs old
GIT endoscopy is normal
No hypotension
No wight loss
Normal stool
Normal endocrine profile
Diagnosis ?
DD
B:pigmentation at mouth face + palmar creases
Received treament for melasma with slight improvement
Hypotension
Weight loss
Next step ?
TTT?
C:
18 yrs old girl with incresed weight with purpule striae at abdomen + hypertension +history of ora Steroid intake from 4 months
Diagnosis ?
https://chat.whatsapp.com/EINnShTc8w0IJgWRrcjMxW?mode=wwc
Dr/Haitham Donia ( the editor)