Atypical Presentation of Endogenous Cushing Syndrome


Authors : Soumya Ranjan Mohanty; Mallavarapu Manisha; Manish Kumar

Volume/Issue : Volume 10 - 2025, Issue 7 - July


Google Scholar : https://tinyurl.com/ke752jyj

Scribd : https://tinyurl.com/2uwad54z

DOI : https://doi.org/10.38124/ijisrt/25jul1587

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Abstract : Cushing’s syndrome is a rare disorder with varied clinical manifestations, often leading to delayed diagnosis. We report a case of a 35-year-old woman presenting with worsening dyspnea, secondary amenorrhea, and proximal muscle weakness. Initial evaluation revealed congestive heart failure and poorly controlled diabetes. Further endocrinological workup confirmed ACTH-independent Cushing’s syndrome secondary to an adrenal adenoma. Following surgical adrenalectomy, the patient showed significant clinical improvement. This case highlights the importance of a high index of suspicion for endocrine disorders in patients with systemic symptoms like heart failure and myopathy.

Keywords : Cushing’s Syndrome, ACTH-Independent, Adrenal Adenoma, Proximal Myopathy, Secondary Amenorrhea, Congestive Cardiac Failure.

References :

  1. Nieman LK, Biller BM, Findling JW, et al. The diagnosis of Cushing's syndrome: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2008;93(5):1526–1540. https://doi.org/10.1210/jc.2008-0125
  2. Lacroix A, Feelders RA, Stratakis CA, Nieman LK. Cushing's syndrome. Lancet. 2015;386(9996):913–927. https://doi.org/10.1016/S0140-6736(14)61375-1
  3. Newell-Price J, Bertagna X, Grossman AB, Nieman LK. Cushing’s syndrome. Lancet. 2006;367(9522):1605–1617. https://doi.org/10.1016/S0140-6736(06)68699-6

Cushing’s syndrome is a rare disorder with varied clinical manifestations, often leading to delayed diagnosis. We report a case of a 35-year-old woman presenting with worsening dyspnea, secondary amenorrhea, and proximal muscle weakness. Initial evaluation revealed congestive heart failure and poorly controlled diabetes. Further endocrinological workup confirmed ACTH-independent Cushing’s syndrome secondary to an adrenal adenoma. Following surgical adrenalectomy, the patient showed significant clinical improvement. This case highlights the importance of a high index of suspicion for endocrine disorders in patients with systemic symptoms like heart failure and myopathy.

Keywords : Cushing’s Syndrome, ACTH-Independent, Adrenal Adenoma, Proximal Myopathy, Secondary Amenorrhea, Congestive Cardiac Failure.

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Paper Submission Last Date
31 - December - 2025

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