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    Cushing's Syndrome

    Symptoms

    Your case might be different than someone else's, but when the disease is full-blown, common symptoms are:

    Your skin could become thin, heal slowly, and bruise easily. You might get purple or pink stretch marks all over your body, especially your belly, thighs, arms, and chest.

    Your bones may get weak. Everyday movements like bending, lifting, or even getting out of a chair can cause backaches or breaks in your ribs or spine.

    Children with Cushing's syndrome are usually very heavy, what doctors call obese, and tend to grow slowly.

    Getting a Diagnosis

    It might take several appointments to settle on your diagnosis.

    When you go to your doctor, she'll do a physical exam and ask you questions.

    • What symptoms have you noticed?
    • When did you first see them?
    • Does anything make them better? Or worse?
    • Are you feeling more emotional?
    • What medications are you taking?

    Your doctor will probably also recommend some of these tests to help screen for Cushing’s syndrome if she suspects you have it:

    24-hour urinary free cortisol test. This common test collects your urine for 24 hours to measure how much cortisol is in it.

    Dexamethasone suppression test . You’ll take a low-dose steroid pill at 11:00 p.m. and then take a blood test in the morning to see how much cortisol your body still makes.

    Late-night salivary cortisol level. This test measures cortisol in your saliva. As the name suggests, these tests happen at night.

    If you have Cushing's syndrome, your doctor may refer you to a specialist who will do other blood tests or imaging scans to find out what's causing it.

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