Pseudo-Cushing's syndrome (patient information)

For the WikiDoc page for this topic, click here

WikiDoc Resources for Pseudo-Cushing's syndrome (patient information)
Articles
Most recent articles on Pseudo-Cushing's syndrome (patient information) Most cited articles on Pseudo-Cushing's syndrome (patient information) Review articles on Pseudo-Cushing's syndrome (patient information) Articles on Pseudo-Cushing's syndrome (patient information) in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Pseudo-Cushing's syndrome (patient information) Images of Pseudo-Cushing's syndrome (patient information) Photos of Pseudo-Cushing's syndrome (patient information) Podcasts & MP3s on Pseudo-Cushing's syndrome (patient information) Videos on Pseudo-Cushing's syndrome (patient information)
Evidence Based Medicine
Cochrane Collaboration on Pseudo-Cushing's syndrome (patient information) Bandolier on Pseudo-Cushing's syndrome (patient information) TRIP on Pseudo-Cushing's syndrome (patient information)
Clinical Trials
Ongoing Trials on Pseudo-Cushing's syndrome (patient information) at Clinical Trials.gov Trial results on Pseudo-Cushing's syndrome (patient information) Clinical Trials on Pseudo-Cushing's syndrome (patient information) at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Pseudo-Cushing's syndrome (patient information) NICE Guidance on Pseudo-Cushing's syndrome (patient information) NHS PRODIGY Guidance FDA on Pseudo-Cushing's syndrome (patient information) CDC on Pseudo-Cushing's syndrome (patient information)
Books
Books on Pseudo-Cushing's syndrome (patient information)
News
Pseudo-Cushing's syndrome (patient information) in the news Be alerted to news on Pseudo-Cushing's syndrome (patient information) News trends on Pseudo-Cushing's syndrome (patient information)
Commentary
Blogs on Pseudo-Cushing's syndrome (patient information)
Definitions
Definitions of Pseudo-Cushing's syndrome (patient information)
Patient Resources / Community
Patient resources on Pseudo-Cushing's syndrome (patient information) Discussion groups on Pseudo-Cushing's syndrome (patient information) Patient Handouts on Pseudo-Cushing's syndrome (patient information) Directions to Hospitals Treating Pseudo-Cushing's syndrome (patient information) Risk calculators and risk factors for Pseudo-Cushing's syndrome (patient information)
Healthcare Provider Resources
Symptoms of Pseudo-Cushing's syndrome (patient information) Causes & Risk Factors for Pseudo-Cushing's syndrome (patient information) Diagnostic studies for Pseudo-Cushing's syndrome (patient information) Treatment of Pseudo-Cushing's syndrome (patient information)
Continuing Medical Education (CME)
CME Programs on Pseudo-Cushing's syndrome (patient information)
International
Pseudo-Cushing's syndrome (patient information) en Espanol Pseudo-Cushing's syndrome (patient information) en Francais
Business
Pseudo-Cushing's syndrome (patient information) in the Marketplace Patents on Pseudo-Cushing's syndrome (patient information)
Experimental / Informatics
List of terms related to Pseudo-Cushing's syndrome (patient information)

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Jinhui Wu, MD

Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

How do I know if I have pseudo-Cushing's syndrome and what are the symptoms of pseudo-Cushing's syndrome?

Signs of patients with pseudo-Cushing's syndrome are similar to Cushing's syndrome. They include the following characteristics.

• Truncal obesity, plethoric moon face, buffalo hump
• Supraclavicular fat pads
• Hirsutism and menstrual irregularities in women
• Thin skin with easy bruising and wide, purplish striae
• Hypertension
• Increased appetite, weight gain
• Depression, or mood swings, anxiety
• Fatigue
• Trouble sleeping

Who is at risk for pseudo-Cushing's syndrome?

• Alcoholism or alcohol withdrawal
• Severe stresses
• Psychiatric conditions such as depression, panic disorders and psychotic conditions.

How to know you have pseudo-Cushing's syndrome?

• Salivary cortisol level: Measurement of ate-night salivary cortisol concentrations can be used as a screening test in suspected pseudo-Cushing's syndrome.
• The 24-hour urinary free cortisol (UFC): In this test, a patient’s urine is collected several times over a 24-hour period and tested for cortisol. Patients with pseudo-Cushing's syndrome may show moderately increased in the 24-hour urinary free cortisol (UFC) level.
• Blood level of cortisol: Patients with pseudo-Cushing's syndrome may show elevated levels of serum cortisol in the morning and evening and the morning level is not suppressed to less than 5 µg/dL by 1 mg dexamethasone administered at midnight. A midnight cortisol level of less than 7.5 µg/dL is an important difference between pseudo-Cushing and true Cushing's syndrome.
• Liver function: Elevation of serum transaminase levels suggest alcohol-induced hepatitis.
• Blood alcohol level: Because many patients of pseudo-Cushing's syndrome are caused by alcohol abuse, blood alcohol level may be helpful.

When to seek urgent medical care?

Call your health care provider if symptoms of pseudo-Cushing's syndrome develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:

• Severe hypertension

Treatment options

Treatments of pseudo-Cushing's syndrome depend on the cause. There is no specific medications for this disorder.

• Anticipate and prevent alcohol withdrawal syndrome.
• Treat psychiatric conditions, relieve stresses.

Diseases with similar symptoms

• Cushing's syndrome
• Depression

Where to find medical care for pseudo-Cushing's syndrome?

Directions to Hospitals Treating pseudo-Cushing's syndrome

Prevention of pseudo-Cushing's syndrome

• Avoidance of alcohol abuse.
• Avoidance too much pressure. If needed, go to see your psychologist.

What to expect (Outook/Prognosis)?

Prognosis of pseudo-Cushing's syndrome varies, depending on the cause and the person. With abstinence from alcohol, all biochemical abnormalities return to reference ranges. But patients with chronic alcoholism often relapse.

Copyleft Sources

http://emedicine.medscape.com/article/124718-overview

http://www.empowher.com/news/herarticle/2009/03/24/what-pseudo-cushings

http://www.pituitary.org/library/library_detail.aspx?page_id=1290