Endocrinologist
Cushing's syndrome occurs when the body is exposed to excessive levels of cortisol either produced internally or from long-term steroid medication. Symptoms can include weight gain particularly around the abdomen and face (often described as a 'moon face'), stretch marks, easy bruising, muscle weakness, high blood pressure, and mood changes. It is a serious condition if left untreated, as it significantly increases the risk of diabetes, osteoporosis, and cardiovascular disease. The cause matters enormously if medication-related, a careful dose reduction may resolve it. If due to a benign tumour of the pituitary or adrenal gland, surgery is often curative. Investigation involves specific blood, urine, and saliva tests, and appropriate imaging.
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