What is the Difference Between Addison Disease and Cushing Syndrome?

🆚 Go to Comparative Table 🆚

Addison's disease and Cushing's syndrome are both endocrine disorders that involve the hormone cortisol, but they have distinct differences:

  • Cortisol levels: Addison's disease occurs when the body doesn't produce enough cortisol, while Cushing's syndrome occurs when the body produces too much cortisol (hypercortisolism).
  • Causes: Addison's disease is most often caused by an autoimmune attack on the adrenal glands, while Cushing's syndrome can be caused by long-term glucocorticoid therapy, pituitary tumors, adrenal tumors, or ectopic ACTH-producing tumors.
  • Symptoms: Some common symptoms of Addison's disease include fatigue, weight loss, low blood pressure, nausea, and darkening of the skin. In contrast, Cushing's syndrome symptoms may include CNS irritability, emotional disturbances, obesity, red and round face, muscle wasting, hypertension, cardiac hypertrophy, hyperplasia, tumor, skin ulcers, and osteoporosis.
  • Prevalence: Addison's disease can affect people of all age groups but is most common in people aged 30 to 50 years old. Cushing's syndrome is more common in women than men, with a ratio of 4:1.
  • Treatment: Addison's disease is typically treated with hormone replacement therapy, while Cushing's syndrome treatment options may include medication, radiation, or surgery to remove a tumor.

Comparative Table: Addison Disease vs Cushing Syndrome

Addison's Disease and Cushing's Syndrome are both endocrine disorders that affect the adrenal glands, but they have distinct differences in their causes, symptoms, and treatments. Here is a table comparing the two conditions:

Feature Addison's Disease Cushing's Syndrome
Common Causes Autoimmune destruction of adrenal gland, sudden discontinuation of long-term glucocorticoid therapy, infectious adrenalitis Long-term glucocorticoid therapy, pituitary tumor, adrenal tumor, ectopic ACTH-producing tumor
Cortisol Levels Reduced Elevated
Aldosterone Levels Reduced Not affected
Symptoms Fatigue, weight loss, low blood pressure, nausea, darkening of the skin Weight gain (particularly in abdomen and face), thinning skin, easy bruising, fatigue, high blood pressure
Diagnosis Blood tests, imaging studies Blood tests, imaging studies
Treatment Hormone replacement therapy (cortisol and aldosterone) Medications, surgery, or radiation therapy (depending on the cause)

Addison's Disease is characterized by insufficient cortisol and aldosterone production, while Cushing's Syndrome is characterized by excess cortisol production. It is essential to work with a medical expert to confirm the diagnosis and find the most suitable treatment plan for each condition.