A 53-year-old woman comes to the physician for a follow-up appointment. She has a 25-year history of systemic lupus erythematosus. Her abdomen is shown.

Which of the following is most likely to be seen in this patient?
A) Decreased serum proopiomelanocortin
B) Increased renal potassium retention
C) Increased serum corticotropin-releasing hormone
D) Increased serum cortisol
E) Zona fasciculata lesion

