Cushing Syndrome

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What is Cushing Syndrome?

Cushing syndrome is a disease that occurs when your body produces too much of the hormone cortisol. It may also occur if you take too much cortisol or other steroid hormones. See also: Cushing's disease (pituitary Cushing's) Cushing syndrome caused by adrenal tumor Cushing syndrome - exogenous Ectopic Cushing syndrome



Alternative names

Hypercortisolism



Causes

The most common cause of Cushing syndrome is side effects from taking anti-inflammatory steroid medications for conditions such as asthma and rheumatoid arthritis . The second most common cause is Cushing's disease, which occurs when the pituitary gland makes too much of the hormone ACTH . ACTH stimulates the adrenal glands to produce cortisol. Cushing's disease affects women more often than men. Cushing syndrome can also be caused by the following: Tumor of the pituitary gland or...



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What is Cushing Syndrome?

Cushing syndrome is a disease that occurs when your body produces too much of the hormone cortisol. It may also occur if you take too much cortisol or other steroid hormones.

See also:

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Alternative names

Hypercortisolism

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Causes

The most common cause of Cushing syndrome is side effects from taking anti-inflammatory steroid medications for conditions such as asthma and rheumatoid arthritis.

The second most common cause is Cushing's disease, which occurs when the pituitary gland makes too much of the hormone ACTH. ACTH stimulates the adrenal glands to produce cortisol.

Cushing's disease affects women more often than men.

Cushing syndrome can also be caused by the following:

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Symptoms & Signs

Other symptoms that may occur with this disease:

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Exams and Tests

Blood sugar and white blood cell counts may be high. Potassium level may be low.

Laboratory tests are done to confirm high cortisol level. These include:

Tests to determine the cause may include:

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Treatments

Treatment depends upon the cause.

Cushing syndrome caused by corticosteroid use:

  • Slowly decrease the drug dose (if possible) under medical supervision.

Cushing syndrome caused by a pituitary tumor or tumor that releases ACTH:

  • Surgery to remove the tumor
  • Radiation after removal of a pituitary tumor (in some cases)
  • Hydrocortisone (cortisol) replacement therapy (after surgery, and sometimes continued throughout the patient's life)

Cushing syndrome due to an adrenal tumor:

  • Surgery to remove the tumor
  • If the tumor cannot be removed, medications to help block the release of cortisol
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Prognosis

Removing the tumor may lead to full recovery, but there is a chance that the condition will return.

Survival for people with ectopic tumors depends on the tumor type. Untreated, Cushing syndrome can be life-threatening.

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Possible Complications

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When to contact a medical professional

Call your health care provider if you have symptoms of Cushing syndrome.

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References

Arnaldi G, Angeli A, Atkinson AB, et al. Diagnosis and complications of Cushing's syndrome: A consensus statement. J Clin Endocrinol Metab. 2003;88:5595-5602.

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Review Date: .3/18/2008

Reviewed By: Elizabeth H. Holt, MD, PhD, Assistant Professor of Medicine, Section of Endocrinology and Metabolism, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.3/18/2008

Cushing Syndrome Videos

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    ... often the first step in a diagnosis of Cushing's syndrome. Several physical signs indicate the syndrome. Your doctor will look for a hump in your back between the shoulders. People with Cushing...

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  • Cushing's Disease Nutrition

    ... results when the etiology of Cushing's syndrome is a tumor in the pituitary gland. This gland is of major significance because during stress the pituitary gland regulates the production of the ...

  • Signs & Symptoms of Cushing's Disease

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Conversations On Cushing Syndrome

  • people always say the scale is a useless form of measurement


    • Posted On March 5, 2009 08:04:40 AM

      ...ondition like an underactive thyroid or Cushing's Syndrome, I doubt a doctor will give you much insight to weight gain and loss and will likely recommend a low calorie diet, if there's nothing m... Read More

    • Posted On March 4, 2009 11:05:15 PM

      but this is what i'm confused about... If you can ONLY *GAIN* muscle from eating more (a calorie surplus) and you can only lose fat by eating less (calorie deficit) If the scale is staying the sa... Read More

  • Why Does Everyone Want to Starve?


    • Posted On January 15, 2009 04:08:04 PM

      ...kind of underlying medical problem like Cushing's Syndrome, none of us were gaining weight to the point of obesity eating 1200-1400 calories a day. I guarantee most of us were eating closer to 3... Read More

    • Posted On January 15, 2009 08:25:33 AM

      Why are so many people willing to starve? Why would anyone WANT to eat 1200 calories or fewer each day? Oh sure, I was one of those that tried to lose weight on the 1100-1200 calorie diet. I was... Read More

  • Identifying the PROBLEM


    • Posted On February 14, 2008 12:17:28 PM

      ...ttp://en.wikipedia.org/wiki/Cushing%27s_syndrome:3377nwc8]Cushing's syndrome. Then I got put on a bunch of neuro meds that caused more weight gain... Read More

    • Posted On February 14, 2008 12:21:16 PM

      ...ttp://en.wikipedia.org/wiki/Cushing%27s_syndrome:2t4x0pc1]Cushing's syndrome. Then I got put on a bunch of neuro meds that caused more weight gain... Scary how I knew the exact me... Read More

  • Trying to eat low carb... need advice


    • Posted On March 14, 2009 08:46:14 PM

      ...n cause an abnormally slow metabolism: Cushing's, hypothyroidism, and Polycystic Ovary Syndrome. There's more, I'm sure. On the other hand, a few people - ONLY a few - actually do have metabo... Read More

    • Posted On March 14, 2009 08:52:17 PM

      ...n cause an abnormally slow metabolism: Cushing's, hypothyroidism, and Polycystic Ovary Syndrome. Oh crap, I think I found my explanation for weight gain. Read More

  • Autoimmune Diseases


    • Posted On February 28, 2007 11:02:35 AM

      ...ed retaining water, and was told I had cushing's syndrome. Thank god the latter turned out false as far as finding any tumors. Like you I did not like the medical solutions I was being given b... Read More

    • Posted On February 27, 2007 02:35:04 PM

      Hello, This is the first message I've posted.... so I'll introduce myself. My name's Elizabeth, and I live in Portland, OR. I was diagnosed a year or so ago with Grave's Disease, which is an ... Read More

  • Anniversary... the day it began 10 years ago

    ...ng out of my neck.  I'm puffy from Cushing syndrome, caused by the massive doses of corticosteroids I was on for the kidney disease, and the only color in my face is from the lipstick I wor...

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