Proximal muscle wasting in Cushing's syndrome

37-year-old male with Cushing's disease who followed a rigorous diet and exercise program. There is no overall weight gain and minimal centripetal redistribution of fat; however, proximal muscle (deltoid) wasting was evident.

Reproduced with permission from Williams Textbook of Endocrinology, 8th ed, Foster DW, Wilson JD (Eds), WB Saunders, Philadelphia, 1996.

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