Excessive concern with physical appearance leading to a diagnosis of adrenal adenoma

We report an unusual case of Gushing's syndrome manifested by anxiety over body image in a 26-year-old nurse. Initial presentation was a 'dermatologic al non-disease'. Clinical signs became increasingly evident during the cour se of the disease, justifying an adrenal gland evaluation which showed a se creting adrenocortical adenoma, Surgical treatment led to recovery with ret urn to normal appearance and cessation of her aesthetic complaints. Our obs ervation shows that persistent aesthetic complaints may sometimes reveal ea rly hypercorticism.