Which symptom is not typically associated with Cushing's syndrome?

Cushing's syndrome is characterized by an excess of cortisol in the body, often leading to a variety of symptoms that reflect hormonal changes. One prominent feature of the condition is obesity, particularly central obesity, where fat accumulates around the abdomen and face, leading to a round face or "moon facies." Buffalo hump refers to the fat accumulation at the nape of the neck, another common symptom of Cushing's syndrome. Purple striae, or stretch marks, can occur due to rapid weight gain and changes in skin elasticity associated with elevated cortisol levels.

In contrast, hypotension, which refers to low blood pressure, is not typically seen in patients with Cushing’s syndrome. In fact, patients with Cushing's often present with hypertension due to the effects of cortisol on sodium retention and vascular tone. Thus, the presence of hypertension is more aligned with the clinical picture of Cushing's, making hypotension an unlikely symptom in this context.