Cushing’s Syndrome Symptoms Causes and Treatment

Cushing’s Syndrome Causes, Symptoms, Diagnosis, and Treatment

Cushing’s disease:

Cushing’s Syndrome Symptoms

Clinical features:

Cushing’s Syndrome Lab Diagnosis

  • Estimation of 24-hour free cortisol in urine (UFC).
  • Failure to suppress plasma cortisol after 1 mg dexamethasone given at night.
  • Increased midnight levels of cortisol are found in Cushing’s syndrome (in normal persons the level of cortisol is low at midnight).

Cushing’s Syndrome Treatment

  • Transsphenoidal resection Pituitary irradiation
  • Ketoconazole, an antimycotic agent, lowers cor­tisol in Cushing’s disease, in doses of 600- 1200 mg/day.
  • Other drugs are metyrapone, mitotane
  • Adrenalectomy – Removal of both adrenal glands corrects hypercortisolism but results in Nelson’s syndrome i.e. pituitary tumor with high ACTH levels.

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title="" rel=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>