Case Presentation A 68-year-old woman requested medical attention for a sudden increase in hair growth that she had noticed 11 months earlier. She had lost more than 30 kg during this same period. Physical examination and Work Up The physical examination revealed: Fine lanugo hair all over her face and body A deeply furrowed tongue A burning sensation in the tongue Laboratory investigations Measurements of hormonal factors were normal except for an increased serum level of carcinoembryonic antigen. Advanced rectal adenocarcinoma was found, without metastasis. Therapy The patient underwent radiotherapy What could be the possible diagnosis? A.
Cushing's syndrome B. Prophyria cutanea tarda C. Hypertrichosis lanuginosa D. Acromegaly E. Polycystic ovarian syndrome Reference: NEJM
