Psychiatric symptoms as a clinical presentation of Cushing’s syndrome
1 Department of Endocrinology, St George Hospital, Gray St, Kogarah, New South Wales, Australia
2 Department of Medicine, St George Hospital and UNSW Medicine, University of New South Wales, Kensington, New South Wales, Australia
3 Department of Consultation-Liaison Psychiatry, St George Hospital, Kogarah, New South Wales, Australia
4 Department of Surgery, St George Hospital, Kogarah, New South Wales, Australia
Annals of General Psychiatry 2013, 12:23 doi:10.1186/1744-859X-12-23Published: 17 July 2013
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.