She presented with weight gain, amenorrhoea, and a noticibly "round" face.
She looked like she had Cushings ... but all the tests came back normal.
What could it be? Was she on any medication? No ... oh, except for the cream she'd been using for her psoriasis - a potent steroid cream, which she'd been slathering on her skin many times a day.
Sure, it had stopped her itch - it had also made her bloated and unrecognisable, stopped her periods and made her panic about early menopause.
In the same consultation that all this was eplained (and a dermatologist referral organised), she mentioned a sore throat and asked if the doctor could "give her something for it".
Because medications can't do harm, right?