Cushing syndrome in children: Pathophysiology, clinical features, diagnostic and therapeutic strategies

Abstract

A rare condition called Cushing disease causes increased morbidity or mortality. Therapeutic methods such as anti-cortisol medications, bilateral adrenalectomy, or radiation procedures may therefore be required to prevent long-term dangers of hypercortisolism, such as hirsutism, moon face, facial plethora, and obesity. Endogenous hypercortisolism increases the risk of cardiovascular metabolic symptoms, osteoporosis, respiratory diseases, psychological difficulties, and infections while also having a high rate of morbidity or mortality. Significant fetal and mental complications during pregnancy are linked to Cushing syndrome. Early detection and treatment are essential. Except in the late trimester, surgery is the preferred method of treatment for Cushing syndrome during pregnancy, with medication therapy as a backup. Cushing syndrome is an endocrine illness that presents differently from other endocrine disorders, making it difficult for doctors to control.

Keywords

• Cushing syndrome
• Pathophysiology
• hypercortisolism
• therapeutic strategies
• clinical & diagnostic features