What is Cushing’s Syndrome (CS) ?

Cushing syndrome is an uncommon condition that happens when your body has too much of a hormone called cortisol.  Another word for Cushing syndrome is hypercortisolism.1

How Common is Cushing’s Syndrome?

Cushing syndrome is rare. It affects 40 to 70 people out of 1 million each year.1

Cushing’s Syndrome CS

What are the signs ?

Each person may have symptoms in a different way. These are the most common signs and symptoms:

2

Upper body obesity with thin arms and legs
Round face
Increased fat around neck or a fatty hump between the shoulders
Reddened, thin, fragile skin that is slow to heal
Reddish-blue stretch marks on the underarms, belly, thighs, buttocks, arms, and breasts
Bone and muscle weakness
Severe tiredness (fatigue)
High blood pressure or high blood sugar
Irritability and anxiety or depression
Extra facial and body hair growth in women
Irregular or stopped menstrual cycles in women
Reduced sex drive and fertility in men
Cushing Syndrom

What are the signs ?

Each person may have symptoms in a different way. These are the most common signs and symptoms:

2

Upper body obesity with thin arms and legs

Round face

Increased fat around neck or a fatty hump between the shoulders

Reddened, thin, fragile skin that is slow to heal

Reddish-blue stretch marks on the underarms, belly, thighs, buttocks, arms, and breasts

Bone and muscle weakness

Severe tiredness (fatigue)

High blood pressure

High blood sugar

Irritability and anxiety or depression

Extra facial and body hair growth in women

Irregular or stopped menstrual cycles in women

Reduced sex drive and fertility in men

Cushing Syndrom

What are the signs ?

Each person may have symptoms in a different way. These are the most common signs and symptoms:

Learning difficulties and cognitive decline.
Liver and spleen enlargement (hepatosplenomegaly).
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Respiratory difficulties.
Cushing’s Syndrome

What are the signs ?

Each person may have symptoms in a different way. These are the most common signs and symptoms:

2

Upper body obesity with thin arms and legs
Round face
Increased fat around neck or a fatty hump between the shoulders
Reddened, thin, fragile skin that is slow to heal
Reddish-blue stretch marks on the underarms, belly, thighs, buttocks, arms, and breasts
Bone and muscle weakness
Severe tiredness (fatigue)
High blood pressure
High blood sugar
Irritability and anxiety or depression
Extra facial and body hair growth in women
Irregular or stopped menstrual cycles in women
Reduced sex drive and fertility in men
Cushing’s Syndrome

What are the signs ?

Each person may have symptoms in a different way. These are the most common signs and symptoms:

2

Upper body obesity with thin arms and legs
Round face
Increased fat around neck or a fatty hump between the shoulders
Reddish-blue stretch marks on the underarms, belly, thighs, buttocks, arms, and breasts
Bone and muscle weakness
Severe tiredness (fatigue)
High blood pressure
High blood sugar
Irritability and anxiety or depression
Extra facial and body hair growth in women
Irregular or stopped menstrual cycles in women
Reduced sex drive and fertility in men
Cushing Syndrom

What are the signs ?

Neurological symptoms such as ataxia, seizures, and tremors.

Difficulty with voluntary movements and balance. Sudden, uncontrolled electrical disturbances in the brain. Involuntary, rhythmic muscle contractions leading to shaking movements in one or more parts of the body.

Learning difficulties and cognitive decline.

Challenges in acquiring knowledge and skills to the level expected of those of the same age, particularly in school-aged children. Progressive loss of cognitive functions, including memory, problem-solving, and attention.

Liver and spleen enlargement (hepatosplenomegaly).

An increase in size of the liver and/or spleen due to lipid accumulation, which can lead to abdominal swelling and discomfort.

Respiratory difficulties.

Challenges in breathing that may include shortness of breath, rapid breathing, or a chronic cough, potentially leading to recurrent respiratory infections.

What Causes Cushing’s Syndrome ?

The role of glucocorticoid medicines (exogenous Cushing syndrome)

Cushing syndrome can happen from taking glucocorticoid medicines. These are often used to treat inflammatory diseases such as rheumatoid arthritis, lupus and asthma. Pain or injury in the back or joints and many skin rashes may be treated with glucocorticoids. They also may be used to stop the body from rejecting a new organ after a transplant.

When the body makes too much cortisol (endogenous Cushing syndrome)

A hormone made in the pituitary gland controls how much cortisol the body makes. This is called adrenocorticotropic hormone (ACTH). Some tumors make ACTH, which creates more cortisol and can cause Cushing syndrome. Problems with the adrenal glands also can affect cortisol and cause Cushing syndrome.3