<prompt> All are true about the condition shown except?HyperpigmentationPurplish striaeHyperkalemiaMetabolic alkalosis  <response>: Presentation of Buffalo hump Violet striae : Seen in CUSHINGS syndrome In Cushings syndrome there is increase in coisolthree times which activates the Epithelial Nachannels leads to more salt and water coming in, but more K and H loss leads to Hypokalemic Alkalosis Metabolic Alkalosis but NO HYPERKALEMIA Single midnight serum coisol measurement helps in diagnosis 