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Adrenocorticotropic Archives - Dr. Zaar

January 9, 2024

Patient: Sarah, a 32-year-old artist, vibrant and passionate, with a love for dance and travel. Presenting Symptoms: Chronic fatigue and weakness, hindering Sarah’s once energetic dance practice. Unexplained weight loss and decreased appetite, leaving Sarah feeling frail. Digestive problems, including nausea and occasional vomiting, disrupting her daily routine. Noticeable skin darkening, particularly on her elbows,...

January 8, 2024

Case Study: Patient: Sarah, a 32-year-old artist, vibrant and passionate, with a love for dance and travel. Presenting Symptoms: Chronic fatigue and weakness, hindering Sarah’s once energetic dance practice. Unexplained weight loss and decreased appetite, leaving Sarah feeling frail. Digestive problems, including nausea and occasional vomiting, disrupting her daily routine. Noticeable skin darkening, particularly on...

December 22, 2023

Introduction: Meet Sarah, a vibrant 32-year-old architect whose life, once a meticulously constructed masterpiece, began to crumble under the unseen influence of a hormonal puppet master. For months, Sarah felt like a stranger in her own body, plagued by inexplicable symptoms that defied easy diagnosis. Her face rounded into a moon-like shape, her shoulders burdened...

December 22, 2023

Patient: Sarah 42-year-old woman with no prior medical history. Presenting Symptoms: Over the past year, Sarah has noticed significant weight gain around her abdomen and trunk, while her arms and legs have become thinner. She experiences fatigue, muscle weakness, and frequent bruising. Her skin has become darker, especially on her face and exposed areas. She...

December 22, 2023

Patient: Sarah, a 7-year-old girl, was diagnosed with 21-hydroxylase deficiency (21-OHD) form of CAH at 3 months old due to ambiguous genitalia. She underwent corrective surgery shortly after diagnosis and has been on glucocorticoid and mineralocorticoid replacement therapy since then. Presentation: Sarah’s parents brought her to the endocrinology clinic with concerns about her recent rapid...

December 22, 2023

Unmasking Ectopic ACTH Syndrome Patient: Sarah, a 45-year-old teacher, was previously known for her energetic nature and infectious smile.(ACTH) Presenting Complaint: Over the past year, Sarah noticed weight gain, particularly around her abdomen and face, forming the classic “moon face” associated with Cushing’s syndrome. Other symptoms included chronic fatigue, muscle weakness, high blood pressure, and...

December 22, 2023

Case Study:  Patient: Ms. Sarah Smith, 35 years old, previously healthy. Presenting Complaint: Fatigue, weight gain, hair loss, muscle aches, difficulty concentrating Medical History: No significant medical history, no family history of autoimmune diseases Physical Examination: General malaise, slightly enlarged thyroid gland, mild bradycardia Laboratory Findings: TSH elevated (hypothyroidism), thyroid autoantibodies positive (Hashimoto’s thyroiditis), ACTH...

December 22, 2023

A Deep Dive into Personalized ACTH Therapy Background: ACTH  Sarah, a 35-year-old artist, presented with a constellation of symptoms: chronic fatigue, unexplained weight gain (15lbs in 6 months), anxiety, and depression. These symptoms significantly impacted her artistic career, causing low productivity and creative block. Despite extensive workups including blood tests, thyroid function tests, and abdominal...

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