case_images: PMC3005665_01
case_images: PMC3005665_02
case_images: General appearance of the patient, note the coarse face, generalized loss of subcutaneous fat, prominent muscularity, and protuberant abdomen
case_images: JCRPE-2-39-g1.jpg
case_images: PMC3005665_02_JCRPE-2-39-g1.jpg
case_images: fg2
case_images: She had coarse facial features with generalized loss of subcutaneous fat and prominent muscularity (Figure 1).
case_images: Remarkable acanthosis nigricans over the neck
case_images: JCRPE-2-39-g2.jpg
case_images: PMC3005665_02_JCRPE-2-39-g2.jpg
case_images: fg3
case_images: Remarkable acanthosis nigricans was present over the neck, axilla, and umbilicus (Figure 2).
case_images: Note the acanthosis nigricans on the axilla and pseudothelarche
case_images: JCRPE-2-39-g3.jpg
case_images: PMC3005665_02_JCRPE-2-39-g3.jpg
case_images: fg4
case_images: Her pubertal status was Tanner stage III for thelarche (pseudothelarche) and stage I for pubarche (Figure 3).