Doctor insights on:
Medicine For Cushings Syndrome
Hormonal...: It is hormonal problem where the body experiences changes due to too much glucocorticoids which might be elevated for different reasons like for example adrenal tumors( usually benign), medications, other hormonal issues. Symptoms can be weight gain, elevated blood sugar, fatigue, muscle weakness, moon face, among others. ...Read more
The signs and symptoms of cushing's syndrome vary.
Common signs and symptoms involve progressive obesity and skin changes, such as:
weight gain and fatty tissue deposits, particularly around the midsection and upper back, in the face (moon face) and between the shoulders (buffalo hump)
pink or purple stretch marks (striae) on the skin of the abdomen, thighs, breasts and arms
thinnin. ...Read more
Cushing's syndrome: Cushing's syndrome is a condition where your body makes too much cortisol (a hormone). A blood draw, 24 hour urine measurement of cortisol, midnight salivary cortisol measurement or a test called dexamathasone suppression test can be done to give you the diagnosis. Often time, you need multiple or all of the tests above to make an accurate diagnosis. ...Read more
There are many: Many patients have multiple signs & symptoms, including (but not limited to): facial plethora, violet colored striae ("stretch marks"), high blood pressure, glucose intolerance, weight gain, facial roundness, weakness, and "central" obesity (i.e., in the truncal area). Acne, decreased libido, & menstrual irregularities are common. Detailed exam & testing are necessary to rule out related conditio. ...Read more
Symptom / sign mix: The familiar physical changes from excess glucocorticoids from any cause, made in the body or prescribged. Red, swollen face, hypertension, glucose intolerance, truncal obesity, fat pad on back of neck, fragile skin, likelihood to get infections, mood problems, acne, more. Contrast "cushing's disease" in which these by definition result from a pituitary adenoma making acth. ...Read more
No, it's a tough one: Cushing's syndrome is a condition where your body makes too much cortisol (a hormone). A blood draw, 24 hour urine measurement of cortisol, midnight salivary cortisol measurement or a test called dexamathasone suppression test can be done to give you the diagnosis. Often time, you'll need multiple or all of the tests above to make an accurate diagnosis. It's one of the hardest diagnosis to make. ...Read more
Many symptoms: Symptoms / signs: truncal obesity (mr. Potatohead look), "moon" facies, thinning of skin, easy bruising, "buffalo" hump in upper back, purple stretch marks, hypertension, fatigue, psychiatric sx, insomnia, excess hair growth, muscle weakness and loss. Symptoms are often progressive and should prompt screening. ...Read more
What makes you ask that question? Family history?
Cushing's syndrome can occur in any age group. If you have symptoms you should see your doctor. Additionally you can go on the web and find many articles/comments about Cushing's syndrome. ...Read more
Many: Facial plethora, acne, hypertension, weight gain, swelling, violaceous streaks, easy bruising, proximal muscle weakness, diabetes, central fat accumulation, elevated cholesterol, osteoporosis - all are manifestations of cushing's syndrome. The severity of symptoms and signs will reflect the duration and severity of steroid excess. ...Read more
Many features: Cushing's is a rare condition, but important to recognize since it can often be cured. There is abdominal (central) obesity (buffalo hump) often with diabetes and hypertension, but also thin skin (bruising, purple striae), rapid change in appearance, muscle weakness, maybe hirsutism, cognitive difficulties. See your doctor. ...Read more
Cushing's unknow 10y: Yes Cushing's can be a slow developing problem. The only way to know is to be tested for it. I always recommend a 24 hr urine for urinary free cortisol AND and overnight Dexamethasone suppression testing. It can be a difficult Dx to make early in the evolution of Cushing's. Would be happy to get more details with a second opinion. ...Read more
No: It's not contagious. You are not at risk for getting it. ...Read more
Endocrinology: Cushing's is an endocrine disorder so seeing an endocrinologist is the best way to get the diagnosis. ...Read more
Did anyone been diagnosed with cushing's syndrome but there tests didn't show it the first time or what?
Cushing's diagnosis: The diagnosis of cushing's can be subtle and complicated. The presence of a nodule or a tumor does not establish the diagnosis. The biochemical tests (blood, urine) can be difficult to interpret, since we all make cortisol. If there is a question, make sure you are seeing an endocrinologist. ...Read more
Is it possible to be diagnosed with cushing's syndrome but there tests didn't show it the first time or what?
Difficult diagnosis: Hi. Yes, Cushing's can be one of the more difficult and subtle diagnoses in all of endocrinology because of fluctuations in adrenal function throughout the 24-hour period. I see you're in my town. I probably know who diagnosed you, if it's an endocrinologist! Proceed with the work up. Assuming the diagnosis is correct, you don't want to leave it untreated. Good luck! ...Read more
Can one have cushing's syndrome for the past 10years and not know about it? Would the symptoms be mild/slowly progressing all the while?
Cushing's: Sometimes Cushing's comes on fast, but sometimes it can be present for years before it is diagnosed. The symptoms of Cushings, central obesity, diabetes, hypertension, are very common. Raising suspicion for Cushings is abdominal striae, bruising, hirsutism, low potassium, rapid onset, and others. The screening tests for Cushings are fairly easy to do. ...Read more
Excess cortisol: Cushing's disease is excessive cortisol in the body from a pituitary tumor that leads to its secretion.Cushing's syndrome refers to the stigmata with excessive cortisol.This can be from the pituitary or administered by drs. Symptoms include hypertension, obesity, heart problems, sensitivity to infection. Cushing's disease/syndrome can be treated so it is not necessarily fatal, but it can be. ...Read more
A pituitary tumor causes classic cushings syndrome. The tumor releases acth which stimulates the adrenal gland to produce corticosteroid hormones.
Cushings syndrome can come about because of steroid hormones being used to treat an underlying condition or rarely from a tumor of the adrenal gland.
The cure of the syndrome depends on its cause. ...Read more
Depends: The treatment options depend on the cause of the cushing's syndrome. If the cause is due to overuse of steroids, then the treatment is to lower the dose. This is the best case scenario. Other treatment options involve: surgery, radiation therapy, and medications. A new drug was recently approved for cushing's syndrome on 2/17/2012. ...Read more
Depends: The treatment options depend on the cause of the cushing's syndrome. If the cause is due to overuse of steroids, then the treatment is to lower the dose. This is the best case scenario. Other treatment options involve: surgery (pros: cure possible, cons: surgery +/- complications), radiation therapy (cons: side effects), medications (cons: usually not a cure, side effects from med)... ...Read more
Yes: There are changes that appear in the face (and throughout the body) as a result of cushing's syndrome. Typically they are described as "moon facies" meaning the face takes a rounded appearance. Discuss your symptoms with your doctor treating your cushing's. Best wishes. ...Read more
Search HealthTap...: Search healthtap for doctors' answers to cushing syndrome (cushing's syndrome) questions, and also check the government information site: http://www.Nlm.Nih.Gov/medlineplus/ency/article/000410.Htm. ...Read more
Unfortunately...: Not much - best bet is to get off the high dose pred as soon as you can. Obviously, that's not always possible with certain pathologies. ...Read more