Indian Journal of PsychiatryIndian Journal of Psychiatry
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CASE REPORT
Year : 2015  |  Volume : 57  |  Issue : 2  |  Page : 200-202

Cushing's syndrome presenting as treatment-resistant bipolar affective disorder: A step in understanding endocrine etiology of mood disorders


1 Department of Psychiatry, PSGIMSR, Coimbatore, Tamil Nadu, India
2 Department of Psychiatry, MMCHRI, Kanchipuram, Tamil Nadu, India
3 Department of Pulmonology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Venkateswaran Rajaraman
823, East Main Street, Pudukkottai - 622 001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.158194

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Cushing's syndrome (CS) is the multisystem disorder which is due to cortisol excess. It is very difficult to diagnose in early stages, especially when psychiatric manifestations are the predominant complaints. It could result in significant morbidity and mortality. We report a case of resistant bipolar affective disorder secondary to CS. Early diagnosis and treatment will lead to better functional outcome and prevention of neurocognitive side-effects of excessive cortisol.



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