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Differential diagnosis and pathophysiology of Cushing's syndrome and primary affective disorder.

Publication ,  Journal Article
Krystal, A; Krishnan, KR; Raitiere, M; Poland, R; Ritchie, JC; Dunnick, NR; Hanada, K; Nemeroff, CB
Published in: J Neuropsychiatry Clin Neurosci
1990

Most patients with major depression have increased 24-hour urinary free cortisol and cortisol nonsuppression after dexamethasone administration, which are cornerstones of a diagnosis of Cushing's syndrome. Similarly, Cushing's syndrome patients often suffer from major psychiatric syndromes, most often depression. These similarities between the two conditions sometimes make it difficult to differentiate them and have led some investigators to suggest they are two points on a spectrum of endocrinologic dysfunction. This article reviews the literature comparing Cushing's syndrome and primary affective disorder and presents two cases that illustrate just how closely these diseases may resemble one another.

Duke Scholars

Published In

J Neuropsychiatry Clin Neurosci

DOI

ISSN

0895-0172

Publication Date

1990

Volume

2

Issue

1

Start / End Page

34 / 43

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Psychotropic Drugs
  • Psychiatry
  • Neurocognitive Disorders
  • Middle Aged
  • Hydrocortisone
  • Humans
  • Female
  • Diagnosis, Differential
  • Depressive Disorder
 

Citation

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Krystal, A., Krishnan, K. R., Raitiere, M., Poland, R., Ritchie, J. C., Dunnick, N. R., … Nemeroff, C. B. (1990). Differential diagnosis and pathophysiology of Cushing's syndrome and primary affective disorder. J Neuropsychiatry Clin Neurosci, 2(1), 34–43. https://doi.org/10.1176/jnp.2.1.34
Krystal, A., K. R. Krishnan, M. Raitiere, R. Poland, J. C. Ritchie, N. R. Dunnick, K. Hanada, and C. B. Nemeroff. “Differential diagnosis and pathophysiology of Cushing's syndrome and primary affective disorder.J Neuropsychiatry Clin Neurosci 2, no. 1 (1990): 34–43. https://doi.org/10.1176/jnp.2.1.34.
Krystal A, Krishnan KR, Raitiere M, Poland R, Ritchie JC, Dunnick NR, et al. Differential diagnosis and pathophysiology of Cushing's syndrome and primary affective disorder. J Neuropsychiatry Clin Neurosci. 1990;2(1):34–43.
Krystal, A., et al. “Differential diagnosis and pathophysiology of Cushing's syndrome and primary affective disorder.J Neuropsychiatry Clin Neurosci, vol. 2, no. 1, 1990, pp. 34–43. Pubmed, doi:10.1176/jnp.2.1.34.
Krystal A, Krishnan KR, Raitiere M, Poland R, Ritchie JC, Dunnick NR, Hanada K, Nemeroff CB. Differential diagnosis and pathophysiology of Cushing's syndrome and primary affective disorder. J Neuropsychiatry Clin Neurosci. 1990;2(1):34–43.
Journal cover image

Published In

J Neuropsychiatry Clin Neurosci

DOI

ISSN

0895-0172

Publication Date

1990

Volume

2

Issue

1

Start / End Page

34 / 43

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Psychotropic Drugs
  • Psychiatry
  • Neurocognitive Disorders
  • Middle Aged
  • Hydrocortisone
  • Humans
  • Female
  • Diagnosis, Differential
  • Depressive Disorder