Table 1.
Epidemiological and clinical data.
| Case number | Gender | Age (years) | Symptoms and signs | Laboratory tests alterations | Time to diagnosis (months) |
|---|---|---|---|---|---|
| 1 | M | 62 | Proximal myopathy, Cushingoid phenotype, weight gain, osteoporosis/fractures, asthenia, hyperpigmentation, oedema of limbs, unusual infections, constitutional syndrome | ↓ K; ↑ALP, GGT, ALT, AST; ↑leucocytes; DM |
2 |
| 2 | M | 29 | Facial plethora, proximal myopathy, striae, Cushingoid phenotype, weight gain, osteoporosis/fractures, asthenia, oedema of limbs, hypertension, nephrolithiasis, psychiatric disorders, gynecomastia | None | 24 |
| 3 | F | 40 | Capillary fragility, Cushingoid phenotype, weight gain, osteoporosis/fractures, asthenia, hypertension, menstrual disorders | ↓ K | 12 |
| 4 | M | 68 | Cushingoid phenotype, weight gain, oedema of limbs, hypertension, gynecomastia | ↓ K; DM; DL. | 2 |
| 5 | M | 31 | Proximal myopathy, striae, Cushingoid phenotype, weight gain, asthenia, hypertension | ↓ K; ↑ ALP, GGT, ALT, AST; DM | 12 |
| 6 | M | 50 | Facial plethora, proximal myopathy, capillary fragility, Cushingoid phenotype, weight gain, asthenia, oedema of limbs, hypertension, psychiatric disorders, gynecomastia | ↓ K; ↑ALP, GGT, ALT, AST; ↑leucocytes; DM; DL | 2 |
| 7 | F | 77 | Proximal myopathy, asthenia, oedema of limbs, hypertension, psychiatric disorders | ↓ K; ↑leucocytes; DM; DL | 2 |
| 8 | M | 61 | Facial plethora, proximal myopathy, capillary fragility, asthenia, oedema of limbs, hypertension | ↓ K; ↑leucocytes; DM; DL; ↑ALT, AST | 1 |
| 9 | M | 76 | Proximal myopathy, capillary fragility, osteoporosis/fractures, hyperpigmentation, oedema of limbs, hypertension, nephrolithiasis, unusual infections, deep vein thrombosis | ↓ K; ↑leucocytes; DM; DL | 4 |
| 10 | F | 61 | Proximal myopathy, capillary fragility, weight gain, asthenia, hypertension, unusual infections | ↓ K; ↑ALP, GGT, ALT, AST; ↑leucocytes; DM | 1 |
| 11 | F | 61 | Capillary fragility, Cushingoid phenotype, oedema of limbs, hypertension, virilisation | ↓ K; ↑leucocytes | 1 |
| 12 | M | 66 | Capillary fragility, asthenia, oedema of limbs, hypertension | ↓ K; ↑leucocytes; DM | 4 |
ALP, alkaline phosphatase; ALT, alanine transaminase; AST, aspartate transaminase; DL, dyslipidemia; DM, diabetes mellitus; F, female; GGT, gamma-glutamyl transferase; K, serum potassium; M, male.
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