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. 2022 Aug 29;107(11):3162–3174. doi: 10.1210/clinem/dgac492

Table 2.

Clinical features of Cushing syndrome and prevalence

Signs/symptoms of Cushing syndrome Prevalence (%)
(Abdominal) obesity/weight gain 75-95
Rounded face (moon face) 81-90
Supraclavicular/dorsocervical fat pad (buffalo hump) 50
Hirsutism/alopecia 75
Facial plethora 70-90
Violaceous striae 44-50
Acne 20-35
Easy bruising 35-65
Menstrual irregularity 70-80
Decreased libido 24-80
Neuropsychiatric (emotional lability/depression, psychosis/mania, cognitive dysfunction) 70-85
Muscle weakness/atrophy 60-82
Osteopenia/fractures 40-70

Features with highest discriminatory value are depicted in bold. Table adapted from Sharma et al (5).