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.