A member asked:

Truncal obesity, stretch marks, thin legs, weak muscles, dowagers hump, moon face, cant lose weight... look very cushing - but low cortisol ... is it possible to have cushing with low cortisol? low morning fasting and very low afternoon

2 doctors weighed in across 2 answers
Dr. Stuart Hickerson answered

Specializes in Family Medicine

Cushing: Exogenous sources of prednisone or other steroid can cause Cushingoid features but a normal Cortisol lever.

Answered 12/25/2019

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Cushing: Studies have shown that testing a 24 hours urine for cortisol is often not specific and may need to be repeated. There are few other tests for cortisol. Having these symptoms may not be from Cushing syndrome but from obesity. Stretch marks from Cushing are usually purple.

Answered 12/25/2019

115 views

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