Patient: Ms. Jones, 45 years old, previously healthy. Presenting complaint: Fatigue, weight loss, muscle weakness, darkening of skin (hyperpigmentation), and irregular menstrual cycles. Medical history: No significant medical history or surgeries. Family history: Mother diagnosed with autoimmune thyroiditis. Physical examination: Low blood pressure, mild muscle wasting, and diffuse hyperpigmentation. Laboratory findings: Elevated ACTH level (80 … Continue reading The Curious Case of Ms. Jones-Androstenedione