Clinical_Rounds_in_Endocrinology_Volume_II_-_Pediatric_Endocrinology

121

a

c

b

dd

Fig. 4.6 ( a ) A 3-year-old child with obesity, plethora, and moon facies. ( b ) Excessive vellus hair
in the same child. ( c ) Axial and ( d ) coronal CECT abdomen of the same patient showing bilateral
adrenal hyperplasia with “beads on a string” appearance on the right side ( red arrows ) suggestive
of PPNAD

4 Childhood Cushing’s Syndrome