Cushing's Syndrome (Glucocorticoid Excess)

This condition is treated in the Endocrinology clinic.

Pre-referral work-up

History

All referrals should comply to the referral standards and also include:

• Symptoms of Glucocorticoid excess such as weight gain, fat distribution, hirsuitism, thin skin, bruising and striae
• Other co-morbidities such as obesity, polycystic ovarian syndrome

Tests

• U&E Cr eGFr
• 24-hour urine free cortisol and/or 0800-0900 plasma cortisol after 1mg dexamethasone at 2300

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

Similar symptoms can be caused by the use of exogenous glucocorticoids, ACTH-excreting pituitary adenoma, Ectopic ACTH secretion, adrenal adenoma or adrenal cancer.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Semi-urgent (Category 2)

Suspected or proven endogenous Cushing's syndrome

Availability

North

John Morris Diabetes Centre
Northern Integrated Care Centre

Phone: 6777 4145
Fax: 6777 5247

North West

North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928

Diabetes Centre
North West Regional Hospital
Phone: 6493 6100
Fax: 6431 8061

Diabetes Clinic
Devonport Community Health Centre
Phone: 6493 6100
Fax: 6441 5946

Paediatric
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928

South

Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982