case_images: PMC10728467_01
case_images: Cushingoid features at presentation include moon face, acne, thin skin, and easy bruising. Hyperpigmentation on the nails and knuckles was also noted.
case_images: fmed-10-1246796-g001.jpg
case_images: PMC10728467_01_fmed-10-1246796-g001.jpg
case_images: fig1
case_images: She also had hyperpigmentation on the nails and knuckles of both hands (Figure 1).