131 results match your criteria: "Pseudo-Cushing Syndrome"
Front Endocrinol (Lausanne)
November 2024
Children's Health Research Institute, London, ON, Canada.
Pituitary
October 2024
Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Diabetologia, Andrologia e Nutrizione, Università Federico II di Napoli, Naples, Italy.
Endocr Metab Immune Disord Drug Targets
July 2024
UOC Endocrinologia e Diabetologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168, Roma, Italy.
Background: The pseudo-Cushing's encompass several disorders that can occur in high-stress situations and that show biochemical features like those of Cushing's syndrome. We present a case with difficult differential diagnosis for overlapping laboratory findings.
Case Report: A 74-year-old man was admitted to our hospital for worsening dyspnoea for a month, 15 kilograms of weight loss in the previous months, asthenia, hypotonia, and muscle hypotrophy.
Pituitary
August 2024
Department of Medicine, Division of Endocrinology, Diabetes and Clinical Nutrition, Oregon Health & Science University, Portland, OR, USA.
Context: Once hypercortisolemia is confirmed, differential diagnosis between Cushing's syndrome (CS) due to neoplastic endogenous hypercortisolism and non-neoplastic hypercortisolism (NNH, pseudo-Cushing's syndrome) is crucial. Due to worldwide corticotropin-releasing hormone (CRH) unavailability, accuracy of alternative tests to dexamethasone (Dex)-CRH, is clearly needed.
Objective: Assess the diagnostic accuracy of Dex-CRH test, desmopressin stimulation test, midnight serum cortisol (MSC), and late-night salivary cortisol (LNSC) levels to distinguish CS from NNH.
Minerva Med
June 2024
Unit of Addiction and Hepatology, ASL3, San Martino Polyclinic Hospital, Genoa, Italy.
Alcoholic liver disease (ALD) is currently, worldwide, the second most common cause of human fatalities every year. Alcohol use disorders (AUDs) lead to 80% of hepatotoxic deaths, and about 40% of cases of cirrhosis are alcohol-related. An acceptable daily intake (ADI) of ethanol is hard to establish and studies somewhat controversially recommend a variety of dosages of ADI, whilst others regard any intake as dangerous.
View Article and Find Full Text PDFExp Clin Endocrinol Diabetes
December 2024
Department of Medicine DIMED, University of Padova, Padova, Italy.
Cushing's Syndrome (CS) is a rare disease due to chronic endogenous cortisol secretion. In recent years, new developments have broadened the spectrum of differential diagnosis, traditionally categorized as adrenocorticotropic hormone (ACTH)-dependent and ACTH-independent forms. Moreover, increased awareness of the detrimental effects of cortisol on cardiometabolic health and the risk of cardiovascular events lead to increased diagnosis of mild forms, especially in the context of adrenal incidentalomas.
View Article and Find Full Text PDFFront Endocrinol (Lausanne)
February 2024
Department of Internal Medicine, Sao Paulo State University/UNESP, Medical School, Sao Paulo, Brazil.
Unlabelled: We evaluated the accuracy of the 10 μg desmopressin test in differentiating Cushing disease (CD) from non-neoplastic hypercortisolism (NNH) and ectopic ACTH syndrome (EAS). A systematic review of studies on diagnostic test accuracy in patients with CD, NNH, or EAS subjected to the desmopressin test obtained from LILACS, PubMed, EMBASE, and CENTRAL databases was performed. Two reviewers independently selected the studies, assessed the risk of bias, and extracted the data.
View Article and Find Full Text PDFJCEM Case Rep
July 2023
Department of Endocrinology and Diabetes, Eastern Health, Box Hill, Victoria 3128, Australia.
Distinguishing between Cushing syndrome (CS) and pseudo Cushing syndrome (PCS), also known as physiological hypercortisolism, can be difficult. PCS is caused by nonneoplastic overactivity of the hypothalamic-pituitary-adrenal axis and may be secondary to a range of conditions, including obesity, physical stress, malnutrition, and chronic alcoholism, and typically results in a lesser degree of hypercortisolism and fewer clinical features than CS. Management of PCS includes treatment of the underlying cause and reassessment of hypercortisolemia following improvement in the underlying etiology, as this may result in normalization of cortisol levels.
View Article and Find Full Text PDFPol Merkur Lekarski
January 2023
STUDENT RESEARCH GROUP AT THE CHAIR AND DEPARTMENT OF PATHOPHYSIOLOGY AND ENDOCRINOLOGY FACULTY OF MEDICAL SCIENCES IN ZABRZE, MEDICAL UNIVERSITY OF SILESIA IN KATOWICE, ZABRZE, POLAND.
Front Endocrinol (Lausanne)
August 2023
Department of Medicine, Division of Endocrinology, New York University (NYU) Langone Medical Center, New York, NY, United States.
JAMA Netw Open
July 2023
Clinical Pharmacy and Outcomes Sciences, University of South Carolina, Columbia.
J Endocr Soc
July 2023
Department of Medicine (Endocrinology and Molecular Medicine), Medical College of Wisconsin, Milwaukee, WI 53226, USA.
The evaluation of suspected hypercortisolism is one of the most challenging problems in medicine. The signs and symptoms described by Dr Harvey Cushing are common and often create diagnostic confusion to even experienced endocrinologists. Cushing syndrome is classically defined as neoplastic hypercortisolism resulting from an ACTH-secreting tumor or from autonomous secretion of excess cortisol associated with benign or malignant adrenal neoplasia.
View Article and Find Full Text PDFJ Assoc Physicians India
February 2023
Professor, Department of Endocrinology and Metabolism, Madurai Medical College and Government Rajaji Hospital, Madurai, Tamil Nadu, India.
Diagnostics (Basel)
April 2023
Department of Clinical Chemistry, University Hospitals Sussex NHS Trust, Worthing BN11 2DH, UK.
Both Cushing’s and pseudo-Cushing’s syndrome involve a state of hypercortisolism. Cushing’s syndrome is a progressive multisystemic disease, caused by either the administration of corticosteroids, or the overproduction of cortisol by a tumoral process. In pseudo-Cushing’s syndrome the HPA-axis is hyperactive due to a pathophysiological process, most frequently caused by depression.
View Article and Find Full Text PDFJ Clin Endocrinol Metab
November 2022
Department of Internal Medicine, Division of Endocrinology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Cushing syndrome results from supraphysiological exposure to glucocorticoids and is associated with significant morbidity and mortality. The pathogenesis includes administration of corticosteroids (exogenous Cushing syndrome) or autonomous cortisol overproduction, whether or not ACTH-dependent (endogenous Cushing syndrome). An early diagnosis of Cushing syndrome is warranted; however, in clinical practice, it is very challenging partly because of resemblance with other common conditions (ie, pseudo-Cushing syndrome).
View Article and Find Full Text PDFPituitary
October 2022
Department of Medicine (DIMED) and Rare Diseases (DIMAR), University of Padova, Padova, Italy.
J Med Primatol
April 2021
Wild Animals Rehabilitation Center from Universidade do Vale do Paraíba, São José dos Campos, Brazil.
Int J Mol Sci
November 2020
Division of Diabetes and Endocrinology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.
J Clin Endocrinol Metab
November 2020
Endocrinology Unit, Department of Medicine-DIMED; University Hospital of Padova, Padova, Italy.
Endocr Connect
January 2020
Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Università Federico II di Napoli, Napoli, Italy.
The distinction between pseudo-Cushing's states (PCS) and Cushing's syndrome (CS) poses a significant clinical challenge even for expert endocrinologists. A patient's clinical history can sometimes help to distinguish between them (as in the case of alcoholic individuals), but the overlap in clinical and laboratory findings makes it difficult to arrive at a definitive diagnosis. We aim to describe the most common situations that can give rise to a condition resembling overt endogenous hypercortisolism and try to answer questions that physicians often face in clinical practice.
View Article and Find Full Text PDFExp Clin Endocrinol Diabetes
October 2020
Department of Endocrinology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Dexamethasone suppression tests are basic tools in diagnostics of hypercortisolemia. Low-dose tests play major role in screening and initial assessment. High-dose tests are aimed at more elaborate diagnostics, however their clinical value is questionable.
View Article and Find Full Text PDFActa Endocrinol (Buchar)
January 2019
"C.I.Parhon" National Institute of Endocrinology, Bucharest, Romania.
Endogenous Cushing's syndrome is rare, with an incidence of 0.7-2.4 per a million people a year.
View Article and Find Full Text PDFJIMD Rep
May 2019
Division of Endocrinology, Department of Pediatrics Boston Children's Hospital, Harvard Medical School Boston Massachusetts.
Impaired growth is common in patients with glycogen storage disease (GSD), who also may have "cherubic" facies similar to the "moon" facies of Cushing syndrome (CS). An infant presented with moon facies, growth failure, and obesity. Laboratory evaluation of the hypothalamic-pituitary-adrenal (HPA) axis was consistent with CS.
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