Not your standard striae gravidarum

The stretch marks signalled something sinister

This pregnant woman’s stretch marks were not just a sign of her burgeoning baby bump, but of another unexpected growth.

Stretch marks

The 27-year-old primigravida presented to hospital with new-onset diabetes and hypertension at 32 weeks’ gestation.

The violaceous striae were accompanied by worsening proximal muscle weakness and facial plethora of several months.

On examination, the marks could be seen over her abdomen, breasts and dorsal and supraclavicular fat pads.

Lab studies were