Citation

Tang A, O'Sullivan AJ, Diamond T, Gerard A, Campbell P. Ann. Gen. Psychiatry 2013; 12(1).

Copyright

(Copyright © 2013, Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/1744-859X-12-23

PMID

unavailable

Abstract

Cushing's syndrome can present with a spectrum of symptoms; however, it is less recognised that psychiatric symptoms can form part of the clinical presenting features. In the investigations for an organic cause for a psychiatric illness, Cushing's syndrome needs to be considered, especially if there are other features such as hirsutism or hypertension. In this article, the two cases reported demonstrate that a prompt diagnosis is not only important for psychiatric management but also crucial for timely institution of the necessary treatment of life-threatening causes of hypercortisolaemia such as metastatic adrenal carcinoma. © 2013 Tang et al.; licensee BioMed Central Ltd.

Language: en

Keywords

adult; human; Depression; female; case report; insomnia; Psychosis; psychosis; suicide attempt; major depression; acne; polypharmacy; article; mental disease; hydrocortisone; weight reduction; citalopram; clinical feature; mirtazapine; venlafaxine; headache; quetiapine; anxiety disorder; nuclear magnetic resonance imaging; splenectomy; delusion; treatment refusal; olanzapine; lorazepam; computer assisted tomography; catatonia; hypertension; hypercortisolism; glucose; potassium; corticotropin; corticotropin blood level; hydrocortisone blood level; thorax pain; abdominal radiography; glucose metabolism; hirsutism; aripiprazole; hair loss; auditory hallucination; hypokalemia; Cushing syndrome; Catatonia; prednisone; adrenal insufficiency; adrenalectomy; pancreas resection; nephrectomy; mental deterioration; adrenal gland; metyrapone; tetracosactide; adrenal cortex adenoma; adrenal disease; Cushing's syndrome; Hypercortisolaemia; Hypercortisolism