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...
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:
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:
Symptoms & Signs
Other symptoms that may occur with this disease:
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
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.
When to contact a medical professional
Call your health care provider if you have symptoms of Cushing syndrome.
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