Cushing’s syndrome takes place when the body secrete too much of stress monitoring hormone which is known as Cortisol. The cortisol also maintains the blood pressure, regulate blood glucose level, reduces the inflammation and turn the food you eat into energy. It is also known as Hypercotisolism.
The kidney is a bean shaped organ. Adrenal gland is a triangular shaped organ which is present above the kidney adrenal glands are present which aids in the production of cortisol. Adrenal gland consists of adrenal cortex and adrenal medulla. The adrenal cortex consists of zona glomerulosa, zona reticularis, zona fasiculata. Adrenal medulla is present inside the cortex and it is present in the stress hormone including Adrenaline. The adrenal cortex.
When ACTH stimulation occurs it might result in the adrenal gland secretion of cortisol and other steroid hormones. ACTH is produced by the pituitary gland and it is released into the petrosal venous sinus in response to stimulation by the corticotrophin releasing hormone(CRH) from the hypothalamus. ACTH is released n the diurnal pattern independent of the circulating cortisol levels. Peak release occurs just before awakening and ACTH levels then decline throughout the day. Control of CRH and ACTH release is maintained through the negative feedback by cortisol at the hypothalamic and pituitary levels. Neuronal input at the hypothalamic level can also stimulate the CRH levels.
The tumours of the cushing’s disease secreate excessive amount of adrenocorticotrophic hormones and results in negative feedback responsiveness to high doses of glucocorticoids. Ectopic sources of ACTH occurs in the form of extracranial neoplasms are generally not responsive to negative feedback with high doses of glucocorticoid. Cushing’s syndrome is classified into ACTH dependent or ACTH independent.
Depression, alcoholism, medications, eating disorders and other conditions can cause mild clinical and laboratory findings, similar to those in Cushing's syndrome, termed “pseudo-Cushing's syndrome.” The laboratory and clinical findings of hypercortisolism disappear if the primary process is successfully treated.
Dexamethasone, an exogenous glucocorticoid, is used to test for Cushing's syndrome. This gluococorticoid does not interfere with cortisol assays but induces similar physiologic responses.
There are several types of DST procedures:
Most of the people with cushing syndrome shows proper prognosis. Most of them can be cured.
Avoid the exposure to corticosteroids