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