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Healthcast: Cushings Syndrome

PITTSBURGH, Posted 6:44 p.m. EDT October 6, 2000 -- WTAE-TV Medical Editor Marilyn Brooks reports that Cushings syndrome is a hormonal disorder that most commonly affects adults in the 20-to-50 age range.

Cushing's syndrome is caused by prolonged exposure of the body's tissues to high levels of the hormone cortisol.

Many people suffer the symptoms of Cushing's syndrome because they take glucocorticoid hormones such as prednisone for asthma, rheumatoid arthritis, lupus or other inflammatory diseases.

Sometimes called "hypercortisolism," it is relatively rare and most commonly affects adults aged 20 to 50. It affects more women than men by a 5-1 margin.

An estimated 10 to 15 of every million people are affected each year.

Symptoms vary, but most people have upper body obesity, rounded face, increased fat around the neck, and thinning arms and legs. Children tend to be obese with slowed growth rates.

Other symptoms appear in the skin, which becomes fragile and thin. It bruises easily and heals poorly. Purplish pink stretch marks may appear on the abdomen, thighs, buttocks, arms and breasts. The bones are weakened, and routine activities such as bending, lifting or rising from a chair may lead to backaches, rib and spinal column fractures.

Most people have severe fatigue, weak muscles, high blood pressure and high blood sugar. Irritability, anxiety and depression are common.

Women usually have excessive hair growth on their faces, necks, chests, abdomens, and thighs. Their menstrual periods may become irregular or stop. Men have decreased fertility with diminished or absent desire for sex.

For more information on the disease, check these Web sites: