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Cushing's syndrome is a collection of signs and symptoms due to prolonged exposure to glucocorticoids such as cortisol. [4] [9] [10] Signs and symptoms may include high blood pressure, abdominal obesity but with thin arms and legs, reddish stretch marks, a round red face due to facial plethora, [11] a fat lump between the shoulders, weak muscles, weak bones, acne, and fragile skin that heals ...
Causes and treatments, as listed by the Cleveland Clinic, can include: • Taking large amounts of corticosteroid medications (man-made drugs that closely resemble cortisol) for the treatment of ...
High cortisol levels can cause anxiety and irritability because the hormone is involved in your fight-or-flight response. Digestive issues. Cortisol influences digestion and can lead to bloating ...
Physically, it can cause fatigue, trouble sleeping and appetite changes. When stress becomes chronic and cortisol levels ... Mentally, it can lead to anxiety and depression, burnout at work, and ...
The 48-h DST is advantageous since it is more specific and can be done by outpatients upon proper instruction. [8] In the high-dose 48-h DST, 2 mg of dexamethasone is given every 6 hours for 48 hours or a single dose of 8 mg is given. [8] This test is not needed if the 48-h low-dose DST has shown suppression of cortisol by over 30%. [8]
Another cause for Cushing's syndrome is adrenocortical carcinoma. This is a rare form of cancer with an incidence of 1-2 per million people annually. About 60% of these cancers produce hormones, with cortisol being the most frequent. Most patients present in an advanced disease state and the outcome is dismal. [7]
Cortisol secretion results in increased heart rate and blood pressure and the temporary shut down of metabolic processes such as digestion, reproduction, growth, and immunity as a means of conserving energy for the stress response. Chronic release of cortisol over extended periods of time caused by long-term high stress can result in: Fatigue
Treatment for Cushing's syndrome aims to reduce the high levels of cortisol circulating through the human body. The course of action ultimately depends on the cause of the hypersecretion. Cushing's can be induced by repeated synthetic steroid use to treat inflammatory diseases, or it can also be caused by a tumor in the pituitary gland or ...
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