What skin change is expected in a client with Cushing's disease?

In Cushing's disease, the body experiences an overproduction of cortisol, which leads to various changes within the skin. One notable characteristic is the development of purple striae, or stretch marks, especially visible on the abdomen. These striae occur due to the breakdown of collagen and elastin in the skin, which is a direct consequence of elevated cortisol levels. As the skin loses its elasticity and structural integrity, these purple or reddish streaks can appear, typically in areas where the skin has been stretched.

This skin manifestation is a significant indicator of Cushing's disease and helps in understanding the condition's impact on the body. It reflects the systemic effects of excess hormones, distinguishing it from other dermatological changes that may arise from different health issues. The presence of purple striae is particularly diagnostic in the context of this endocrine disorder, reinforcing the connection between hormonal imbalance and skin manifestations.