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Q.Write a note on Addison's disease and Cushing's syndrome.

Telangana TsbieTelangana Board of Intermediate Education 2019Subjective· 4mImportance★★★★★
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Addison's disease results from under-activity of the adrenal cortex, while Cushing's syndrome results from over-activity of the adrenal cortex - opposite disorders of adrenal cortical hormone secretion.

Addison's Disease:

This disorder is caused by hyposecretion (deficiency) of adrenal cortical hormones, particularly glucocorticoids (cortisol) and mineralocorticoids (aldosterone), usually due to damage or atrophy of the adrenal cortex.

Symptoms include:

  • Chronic muscular weakness and fatigue
  • Loss of appetite and weight loss
  • Low blood pressure (hypotension)
  • Hyperpigmentation (bronzing/darkening) of the skin, due to increased ACTH (and related MSH-like activity) as the pituitary tries to compensate for low cortisol
  • Disturbed electrolyte (Na+/K+) balance due to reduced aldosterone, which can lead to dehydration

Cushing's Syndrome:

This disorder is caused by hypersecretion (excess) of glucocorticoids, particularly cortisol, from the adrenal cortex (often due to a tumour of the adrenal cortex or excess ACTH stimulation from the pituitary).

Symptoms include:

  • A rounded "moon face"
  • Obesity of the trunk with a "buffalo hump" on the back, while the limbs remain relatively thin (muscle wasting)
  • Thinning and weakening of the skin, with stretch marks …

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