Cushing Syndrome
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📅 2/26/2026
What is Cushing Syndrome?
A hormonal disorder caused by prolonged exposure to high cortisol levels.
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Symptoms of Cushing Syndrome
- Weight gain, especially in the face (moon face) and upper back (buffalo hump).
- Thin skin that bruises easily and slow-healing wounds.
- Muscle weakness and fatigue due to protein breakdown.
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Causes and Risk Factors
- Most common cause: prolonged use of corticosteroid medications.
- Tumors in the pituitary or adrenal glands can overproduce cortisol.
- Rarely caused by ectopic ACTH-producing tumors outside the pituitary.
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Diagnosis and Tests
- 24-hour urinary free cortisol test to measure cortisol levels.
- Dexamethasone suppression test to check cortisol regulation.
- Imaging tests like MRI or CT scans to locate tumors.
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Treatment and Management
- Reducing steroid use under medical supervision if drug-induced.
- Surgical removal of tumors causing excess cortisol production.
- Medications to control cortisol levels when surgery isn't an option.
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