What is the Difference Between Cushings Disease and Cushings Syndrome?

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Cushing's syndrome and Cushing's disease are both conditions that result from excessive cortisol levels in the body, but they have different causes:

  • Cushing's Syndrome: This disorder is characterized by physical and mental changes resulting from too much cortisol. There are two types of Cushing's syndrome: exogenous (caused by factors outside the body) and endogenous (caused by factors within the body). Cushing's syndrome can be caused by factors such as corticosteroid medications like prednisone or a tumor causing the body to produce too much cortisol.
  • Cushing's Disease: This is a specific type of Cushing's syndrome that occurs when a pituitary tumor causes the body to make too much cortisol. Cushing's disease is the most common form of endogenous Cushing's syndrome, accounting for about 70% of cases.

In summary, the main difference between Cushing's syndrome and Cushing's disease is the cause of the excess cortisol production: Cushing's syndrome can result from various factors, while Cushing's disease is specifically caused by a pituitary tumor.

Comparative Table: Cushings Disease vs Cushings Syndrome

Cushing's Disease and Cushing's Syndrome are both conditions related to excess cortisol in the body, but they have different causes and characteristics. Here is a table comparing the two:

Feature Cushing's Disease Cushing's Syndrome
Cause Tumor on the pituitary gland that produces too much ACTH Excess cortisol can be due to external factors (e.g., corticosteroid medications) or internal factors (e.g., adrenal tumor, adrenal hyperplasia)
Definition Specific disorder caused by excess levels of cortisol in the body due to the pituitary tumor Condition resulting from long-term exposure to excess cortisol
Treatment Transphenoidal removal of the tumor is the treatment of choice Treatment depends on the cause (e.g., radiation, surgery, pharmacologic therapy)
Genetic Mutations Menin 1, NR3C1, AIP, TP53, and NR0B1 CTNNB1, APC, and PRKACA

Both conditions can lead to high blood pressure, high blood sugar or diabetes, extreme fatigue, trouble sleeping, depression, memory loss, and other symptoms. However, Cushing's Disease is a specific disorder caused by a pituitary tumor that produces too much ACTH, while Cushing's Syndrome can be caused by various factors and is a broader term for the condition of excess cortisol in the body.