Pseudo Cushing's syndrome differential diagnosis: Difference between revisions
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*Causes of Cushing's should be excluded with imaging of the [[lung]]s, [[adrenal gland]]s, and [[pituitary gland]] - but these often appear normal in Cushing's anyway | *Causes of Cushing's should be excluded with imaging of the [[lung]]s, [[adrenal gland]]s, and [[pituitary gland]] - but these often appear normal in Cushing's anyway | ||
*In the alcoholic patient with pseudo-Cushing's, admission to hospital (and avoidance of alcohol) will result in normal midnight cortisol levels within 5 days, excluding Cushing's<ref>{{cite journal | author=Newell-Price J, Trainer P, Besser M, Grossman A. | title=The diagnosis and differential diagnosis of Cushing's syndrome and pseudo-Cushing's states. | journal=Endocr Rev | volume=19 | issue=5 | pages=647-72 | year=1998 | id=PMID 9793762}}</ref> | *In the alcoholic patient with pseudo-Cushing's, admission to hospital (and avoidance of alcohol) will result in normal midnight cortisol levels within 5 days, excluding Cushing's<ref>{{cite journal | author=Newell-Price J, Trainer P, Besser M, Grossman A. | title=The diagnosis and differential diagnosis of Cushing's syndrome and pseudo-Cushing's states. | journal=Endocr Rev | volume=19 | issue=5 | pages=647-72 | year=1998 | id=PMID 9793762}}</ref> | ||
;Diseases with similar symptoms | |||
:*[[Cushing's syndrome]] | |||
:*[[Depression]] | |||
==References== | ==References== |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]}
Overview
Differentiating Pseudo Cushing's Syndrome from other Diseases
- Differentiation from Cushing's is extremely difficult
- Causes of Cushing's should be excluded with imaging of the lungs, adrenal glands, and pituitary gland - but these often appear normal in Cushing's anyway
- In the alcoholic patient with pseudo-Cushing's, admission to hospital (and avoidance of alcohol) will result in normal midnight cortisol levels within 5 days, excluding Cushing's[1]
- Diseases with similar symptoms
References
- ↑ Newell-Price J, Trainer P, Besser M, Grossman A. (1998). "The diagnosis and differential diagnosis of Cushing's syndrome and pseudo-Cushing's states". Endocr Rev. 19 (5): 647–72. PMID 9793762.