Sunday 24 May 2015

Risk Factors

The risk of developing Cushing’s syndrome is small. About two to three people per million are diagnosed with the disease each year. The symptoms can be mistakenly attributed to other conditions, such as type 2 diabetes or osteoporosis. As a result, there are cases that might go undiagnosed. It most commonly develops in indviduals between the ages of 20 and 50 years and is three times more likely too develop in women than men.


Familial Cushing’s Syndrome

Individuals with some rare genetic disorders are more vulnerable to tumours in one or more glands that influence cortisol levels. As a result, these people are more likely to develop Cushing’s syndrome.

Pseudo-Cushing’s Syndrome

In rare instances, a person may have symptoms and test results that point to Cushing’s, but further testing reveals that he or she does not have the syndrome. This condition is termed "pseudo-Cushing’s syndrome." Factors that can cause this syndrome are alcohol dependence, depression or other psychiatric disorders, extreme obesity, pregnancy, and poorly controlled diabetes.

Untreated Cushing’s syndrome can be life-threatening—fortunately, most people with the syndrome are treated and cured, and have a normal life expectancy.
There are several possible complications that result from this disorder such as diabetes, fractures due to osteoporosis, hypertension, kidney stones and other serious infections. Ultimately, cushing syndrome can be life threatening.

Treatment Methods

Treatment methods may differ depending on the cause of the disorder. Cushing's syndrome can develop from two reasons.

If it was caused by corticosteroid use, the doctor will advice you to decrease your medicine dosage slowly. A sudden stop in the consumption of medicine can be dangerous to the individual.


If the cause was by a pituitary or a tumor that releases ACTH (Cushing disease), surgery to remove the tumor and most often, radiation after removal of a pituitary tumor would be ideal in some cases. If the tumor cannot be removed, you may need medicines to help block the release of cortisol. Removing the tumour may lead to full recovery but there is a chance for the condition to return.


Signs and symptoms of Cushing's syndrome

The symptoms of this condition can vary depending on the individual, i.e., age and gender. The pattern of the symptoms can be highly unpredictable as well. In some cases, the symptoms can develop quickly and be very severe. In other cases, they may develop slowly and be much milder.

Common symptoms of cushing syndrome include:
  • A red, round and full face, also termed ‘moon face’
  • Weight gain especially in the mid section of the upper body
  • Thin arms and legs


Skin changes include:
  • Acne
  • Purple marks (striae) on the skin of the abdomen, thighs,and breasts.
  • Thin skin that can bruise easily


Muscle and bone changes include:
  • Muscle weakness
  • Bone pain
  • Osteoporosis
  • Collection of fat between shoulders and above collar bones


Symptoms for women include:
  • More visible body hair
  • Irregular periods


Symptoms for men include:
  • Decreased libido and fertility
  • Erectile disfunction


Other health and mental symptoms include:
  • High blood pressure
  • Anxiety, depression and irritability
  • Headaches
  • Lethargy
  • Increase in thirst and urination








What is Cushing's Syndrome?

Cushing's syndrome is a disorder that occurs when the body has a high level of the hormone cortisol.

The causes of this syndrome are:
  1. Medication containing a cortisol-like synthetic compound called glucocorticoid
  2. A benign or malignant tumor in the body that makes the adrenal gland produce too much cortisol. (Much less common cause then medicine.)
  • Pituitary adenoma is a benign pituitary tumor that secretes ACTH. Most common tumor linked to Cushing’s syndrome => So common that it’s been given it’s own term, Cushing’s disease.

  • Adrenal tumors produce cortisol in their tissue, adding to the amount already produced by the adrenal glands (cause about 15% of endogenous Cushing’s syndrome cases). More common in children and less common in adults.
  • Some tumors not in the pituitary or adrenal glands can produce ACTH and force more cortisol production.