Cushing's Syndrome
Abstract
Cushing's syndrome is a rare endocrine disease characterized by cortisol hypersecretion, induced mainly by a pituitary tumor (Cushing's disease) or, rarely, by an adrenal or an ectopic neuroendocine tumor. Cushing's syndrome is associated with severe morbidities and an increased mortality. The major systemic complications and the main cause of death are represented by cardiovascular disease. The prognosis of the disease is mainly affected by the difficulties in the diagnosis and treatment of the disease, which remain a considerable challenge.
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ACTH-dependent Cushing syndrome accounts for 80% to 85% of cases.
“ACTH-dependent CS accounts for 80% to 85% of cases and ACTH-independent accounts for 15% to 20% (2, 4, 5).”
From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [4]
ACTH-independent Cushing syndrome accounts for 15% to 20% of cases.
“ACTH-dependent CS accounts for 80% to 85% of cases and ACTH-independent accounts for 15% to 20% (2, 4, 5).”
From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [4]
Cushing disease occurs when a pituitary adenoma secretes ACTH, which stimulates supraphysiologic secretion of cortisol from the adrenal glands.
“Cushing disease, the most common cause of ACTH-dependent CS accounting for approximately 80% of cases, occurs when a pituitary adenoma secretes ACTH, which in turn stimulates supraphysiologic secretion of cortisol from the adrenal glands (2, 4, 5, 73).”
From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [4]
Cushing disease is the most common cause of ACTH-dependent CS, accounting for approximately 80% of cases.
“Cushing disease, the most common cause of ACTH-dependent CS accounting for approximately 80% of cases, occurs when a pituitary adenoma secretes ACTH, which in turn stimulates supraphysiologic secretion of cortisol from the adrenal glands (2, 4, 5, 73).”
From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [4]
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- Authors
- Pivonello, R., De Martino, M. C., De Leo, M., Lombardi, G., & Colao, A.
- Affiliations
- Federico II University Hospital (IT)
- Corresponding author
- Pivonello, Rosario
- Venue
- Endocrinology and Metabolism Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2008-03
- Volume
- 37
- Issue
- 1
- Pages
- 135-149
- ISSN
- 0889-8529 (ISSN-L)
- OpenAlex
- W3021600979
- Cited by
- 195
- References
- 57
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 8 · 2023: 13 · 2022: 10 · 2021: 19 · 2020: 6 · 2019: 9 · 2018: 8 · 2017: 9 · 2016: 10 · 2015: 14 · 2014: 11 · 2013: 10 · 2012: 15
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrinology and Metabolism Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
- Keywords
- Cushing's syndrome, cortisol hypersecretion, Cushing's disease, pituitary tumors, adrenal tumors, ectopic ACTH syndrome, cardiovascular disease, prognosis, diagnosis, treatment
- MeSH terms
- Adrenocorticotropic Hormone, Cushing Syndrome, Enzyme Inhibitors, Humans, Hydrocortisone, Neurotransmitter Agents
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