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Cushing's Syndrome

Differential Diagnoses

Diabetes mellitus
Hypercortisolism secondary to alcoholism
Insulin resistance associated with diabetes
Obesity
Polycystic ovarian syndrome
Puberty

Specialists

Endocrinologist
Family Practice Physician
General Surgeon
Neurosurgeon
Oncologist
Radiologist
Urologist

Comorbid Conditions

Cardiovascular disease
Diabetes
Immune system disorders
Psychiatric disorders

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Factors Influencing Duration

Individuals who require surgery can be expected to spend several days in the hospital with additional recovery time at home. Untreated, Cushing's syndrome can be fatal.

Medical Codes

	ICD-9-CM:
	255 -	Disorders of Adrenal Glands
	255.0 -	Disorders of Adrenal Glands, Cushings Syndrome; Adrenal Hyperplasia Due to Excess ACTH Cushings Syndrome NOS, Iatrogenic, Idiopathic, Pituitary-Dependent, Ectopic ACTH Syndrome, Iatrogenic Syndrome of Excess Cortisol, Overproduction of Cortisol

Before the introduction of effective therapy approximately 50% of patients with untreated Cushing's syndrome died within 5 years. Now with appropriate medical intervention, the outcome of endogenous Cushing's is generally good. Cushing's secondary to ACTH-producing tumors of the adrenal gland are often treated by surgical removal of the adrenal gland, which has a 100% cure rate. However, Cushing's secondary to ACTH-producing tumors of the lung generally has a poor outcome (Stewart 522).

Source: Medical Disability Advisor

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