When stimulated by ACTH, the adrenal gland secretes cortisol and other
steroid hormones. ACTH is produced by the pituitary gland and released
into the petrosal venous sinuses in response to stimulation by
corticotropin-releasing hormone (CRH) from the hypothalamus
Risk factors
Female
25-40 years
old
Mineralocorticoids - Aldosterone
Androgens
Stress hormones - Epinephrine & Norepinephrine
Nadia, round face, bruised, depressed, obese,
other signs and symptoms
Dysmenorrhea or Amenorrhea
Muscle weakness
Severe fatigue
Loss of emotional control
Cognitive difficulties
New or worsened high blood pressure
Headache
Bone loss, leading to fractures over time
Hirsutism
In children, impaired growth
diagnosed with cushing's disease
treated with hormone replacement therapy & surgery
Management
hormone replacement
corticosteroids
Clnical use
Immunosuppressive Therapy
Raised intracranial pressure
skin diseases
Acceleration of fetal lung maturation
Adverse
Effects
imuunosuppressing
reduce bone growth
peptic ulcers
weakness and
infections
Surgery
transphenoidal,
removes tumor in
sella tucica.
Complications
Sinus headache and
congestion for up to a
week or 2 after
surgery.
Brain damage, a
stroke, or blindness if
a nerve or artery is
damaged