Problem description: After a thorough physical examination, it was found that corticosterone was high. What caused the expert?
Question date:2020-09-22
Patient information:Age: 28 Sex: Male
There are many reasons for high cortisol Cause.
If the patient’s long-term use of exogenous glucocorticoids causes an increase in cortisol, central obesity, thin skin, and various small vellus hairs on the face, it is called iatrogenic Cushing’s syndrome. If the cause is in the adrenal cortex, it is due to the long-term secretion of cortisol from the adrenal cortex, and the performance of Cushing’s syndrome is called spontaneous Cushing’s syndrome. If it is because of the pituitary gland or certain tumor tissues other than the pituitary gland, the ectopic ACTH is secreted to make the adrenal cortex hyperplasia, thereby secreting excessive cortisol, this is secondary, called ACTH-dependent cortisol increase. So it is necessary to clarify the reason, what caused the increase in cortisol.
Enough rest and sleep should be maintained in daily life. It is appropriate not to feel fatigued during activities, and the rest time should be appropriately increased to maintain adequate sleep.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed examination