A 20 year old woman presents to her primary care doctor with thinning scalp hair, excessive facial hair, and high ACTH and low cortisol levels in her blood.
What is the single most cause should the physician seriously consider?

Question

A 20 year old woman    presents to   her primary care doctor with thinning scalp hair, excessive facial hair, and high ACTH and low cortisol levels in her blood.  
 What is the single most cause should the physician seriously consider?

Accepted Answer

genetic deficiency of an enzyme in the pathway for cortisol synthesis.

Answer

autoimmune destruction of the adrenal cortex

Answer

tumor of the anterior pituitary that produces abnormally large amounts of POMC.

Answer

mutation in the gene for CRH that decreases the production of this polypeptide

Answer

tumor of the adrenal medulla that secretes    large amounts of its hormones

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A 20 year old woman presents to her primary care doctor with thinning scalp...

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