Cushing's syndrome : Overview of clinical presentation, diagnostic tools and complications

Copyright © 2020 Elsevier Ltd. All rights reserved..

Cushing's syndrome (CS) is a severe condition that results from chronic exposure to elevated circulating cortisol levels; it is a rare but potentially life-threating condition, especially when not timely diagnosed and treated. Even though the diagnosis can be straightforward in florid cases due to their typical phenotype, milder forms can be missed. Despite the availability of different screening tests, the diagnosis remains challenging as none of the available tools proved to be fully accurate. Due to the ubiquitous effect of cortisol, it is easy understandable that its excess leads to a variety of systemic complications including hypertension, metabolic syndrome, bone damages and neurocognitive impairment. This article discusses clinical presentation of CS with an eye on the most frequent cortisol-related comorbidities and discuss the main pitfalls of first- and second-line tests in endogenous hypercortisolism diagnostic workup.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Best practice & research. Clinical endocrinology & metabolism - 34(2020), 2 vom: 15. März, Seite 101380

Sprache:

Englisch

Beteiligte Personen:

Barbot, Mattia [VerfasserIn]
Zilio, Marialuisa [VerfasserIn]
Scaroni, Carla [VerfasserIn]

Links:

Volltext

Themen:

Complications
Cortisol
Cushing's syndrome
Hydrocortisone
Incidence
Journal Article
Review
WI4X0X7BPJ

Anmerkungen:

Date Completed 05.11.2020

Date Revised 05.11.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.beem.2020.101380

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM307532461