Cushing syndrome: manifestations and treatment

Content

  • Cushing syndrome
  • Manifestations of Cushing Syndrome
  • Treatment of Cushing Syndrome



  • Cushing syndrome

    Hypercorticism syndrome (Cushing syndrome) includes a group of diseases,
    which occurs a long chronic effect on the body
    excessive amounts of adrenal bark hormones, regardless of
    The reasons that caused an increase in the number of these hormones in the blood.

    The cause of Cushing syndrome can be various states. Most often
    Hypercorticism syndrome (excess formation of bark hormones
    adrenal glands) is due to increased development
    Adrenocorticotropic hormone pituitary gland (Izsenko-Cushing's disease). This
    The hormone can be produced by microenseum pituitary or ectopied
    (located not at the usual place) corticotropic. Etopal
    Malignant corticotropin can be located in bronchi, testicles,
    ovarian.

    Less often Cushing Syndrome occurs with the primary defeat of the bark
    adrenal glands (benign or malignant crust tumors
    adrenal glands, hyperplasia of adrenal cortex). Hormonally active
    adrenal cortex tumor called corticosterome. It produces B
    blood excess glucocorticoid. At the same time due to
    The overhaul of glucocorticoids in the blood is reduced
    adrenocorticotropic hormone pituitary and remaining adrenal fabric
    subjected to atrophic changes.

    Hypercorticism syndrome may occur in the treatment of various
    Diseases with the help of hormones of adrenal cortex (glucocorticoid),
    If the drug is overdose. Occasionally arise unusual
    Hypercorticism syndromes due to food intake or alcoholic
    poisoning.



    Manifestations of Cushing Syndrome

    In syndrome of hypercorticism, the same manifestations arise.
    Violates the exchange of proteins, fats and carbohydrates. The decay of proteins is activated,
    The excess amount of free fats is formed, rises
    The amount of glucose in the patient's blood, which can lead to development
    Sugar diabetes.

    The manifestations of Cushing's disease are due to excessive secretion of adrenal cortex hormones, primarily glucocorticoids.

    • Cushing syndrome: manifestations and treatmentThe earliest sign of the disease is obesity, with typical
      Deposition of fatty fiber in the field of face, neck, belly chest. Face
      At the same time it looks round, moon-shaped.
    • Purple blush appears on the cheeks.
    • Glucocorticoids
      cause an increase in appetite and change the metabolism, increasing
      blood glucose level and enhanced fat.
    • Limbs on the contrary become thin due to the reduction of the mass of muscle tissue.
    • On the
      skin in the abdomen, shoulder belt, buttocks and thighs appear
      Crimson-Blue Stripes Strength - Stria. This is the result of stretching
      leather with excessive deposition of fats and disruption of the exchange of protein, due to
      what kind of skin is thinning and easy to stretch.
    • Harves appear on the skin.
    • Wounds and cuts heal slowly.
    • IN
      friction places in the collar area on the neck, in the abdomen, elbow
      Strengthened skin coloring occurs. In these places
      Melanin is postponed, the number of which increases with
      The number of adrenocorticotropic hormone.

    Women have girsutism (excessive extension). Appear
    Hair on the upper lip, chin, chest. Excess hair growth
    Women is due to the strengthening of men's genital hormones
    Androgen's adrenal cortex that women also cause violations
    menstrual cycle.

    Men arises impotence.

    First, periodic appears, then continuous increase
    Arterial pressure. Gradually develops bone tissue - osteoporosis, which is first manifested by pains in bones and joints,
    Then the spontaneous fractures of the ribs, limbs. Excess
    Glucchorticoid causes as a violation of the formation of a protein basis
    bones and strengthens calcium output from bone tissue.

    Patients complain of weakness, headaches, body weight increase.
    Sometimes patients with hypercorticism disease occur
    Psyche. Depression appear, various sleep disorders, psychosis.



    Treatment of Cushing Syndrome

    The purpose of treatment is the normalization of the level of hormones of adrenal cortex in
    blood. Preparations reduced hormone products in Kore
    adrenal glands - Loword, Mamomit, Metapiron - for a long time
    of time.

    Symptomatic treatment aimed at correction
    Protein and carbohydrate disorders, level normalization
    blood pressure, heart failure. In the presence of
    The patient has a corticoster, is made one-sided removal
    adrenal gland (one-sided adrenalctomy).

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