This girl presented at the age of 11 years and 3 months. She had experienced rapid weight gain from 31 kg to 65 kg, but had only grown by 7 cm in height in 2 years. Acne and facial flushing were also noted. No previous medication had been prescribed. The patient had initially ignored the symptoms, but fre- quent poor appetite, nausea, vomiting, and abdomi- nal pain developed 6 months prior to attendance at our pediatric endocrine clinic. Moon face, buffalo hump, generalized obesity, and purpuric striae were noted. She had a height of cm (75−90th percen- tile), weight of 65 kg.
