Lecture7: Glucoroticoid Disorders Flashcards
Which syndrome leads to hyper secretion of glucocorticoids?
Cushing syndrome
Which syndrome leads to Hyposecretion of glucocorticoids?
Addison’s disease
If the cause of Cushing syndrome was Hypothalmic, what there be a notable decrease of?
Both CRF and ACTH
if the cause of Cushing was Pituitary, what would there be a notable increase of?
ACTH only
Effects of hypersecretion of glucocorticoids?
Muscle wasting, thin skin, delayed wound healing
Characteristic sign of hypersecretion?
Abdominal Striae
How do we identify Cushing from the face?
Acne, salt and water retention, and fat mobilization
What is the cause of abdominal striae?
The rupture of subdermal capillaries
Effects of Hyposecretion?
Anemia and Hypoglycemia
Melanin pigmentation is a sign of Hyposecretion, what causes it?
The increased secretion of ACTH resultant from loss of negative feedback mechanism
What are sites of melanin pigmentation?
Skin, scars and mucous
What are Adrenal Androgens responsible for?
The development of sex and mascunalizing shite
Hypersecretion of Adrenal Androgens in females is called?
Virilism
What is Congenital Adrenal Hyperplasia (CAH) ?
When there’s a gene mutation of CYP21
What happens in CAH?
Adrenal androgens increase, and both glucocorticoids and mineralcorticoids decrease