Clinical_Rounds_in_Endocrinology_Volume_II_-_Pediatric_Endocrinology

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ab

Fig. 4.4 ( a , b ) A 3-year-old child with Cushing’s syndrome. Note the characteristic moon facies
and no features of protein catabolism

a b

Fig. 4.5 ( a ) A 17-year-old girl with Cushing’s syndrome having hirsutism and acne ( b ) X-ray of
pelvis shows avascular necrosis of head of right femur with loss of contour and areas of radiolu-
cency and early changes in head of left femur ( red arrows )

4 Childhood Cushing’s Syndrome