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Treatment of Cushing Disease

Cost for treatment

Diagnosis of Cushing's disease
3221
Surgical treatment of Cushing's disease
6721.27
Neurological rehabilitation Phase C
0.00

Hospital Neuperlach Munich

9.8/10
location_onGermany, Munich

Department of Endocrinology, Diabetology, Angiology and Internal Medicine

The Hospital Neuperlach Munich provides modern medical services of the highest quality. The medical center is an Academic Hospital of the Ludwig Maximilian University of Munich, and therefore it can offer its patients innovative diagnostic and therapeutic methods available only in the best German hospitals. The medical complex o
Diagnosis of Cushing's disease
0.00

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Endocrinology, Rheumatology, Nephrology, Infectology and Angiology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
21487.14

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Endocrinology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Diagnosis of Cushing's disease
4325.29
Surgical treatment of Cushing's disease
25336.37

University Hospital Frankfurt am Main

10/10

Department of Gastroenterology, Hepatology, Pulmonology, Allergology, Endocrinology and Diabetology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
19543.22

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Nephrology, Rheumatology, Osteology and Endocrinology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
21429.72

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
21995.57

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Gastroenterology, Metabolic Disorders and Internal Intensive Care

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
21740.84

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Nephrology, Rheumatology, Endocrinology and Diabetology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
19553.66

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Gastroenterology, Endocrinology, Metabolism and Clinical Infectology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
18610.92

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gastroenterology, Hepatology, Endocrinology and Infectology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
28820.14

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Endocrinology and Metabolic Disorders

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnosis of Cushing's disease
4767.94
Surgical treatment of Cushing's disease
28246

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Endocrinology and Diabetology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
21525.77

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Infectology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
19389.75

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Endocrinology, Diabetology, Metabolic Disorders and Nutritional Medicine

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
18211.07

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Endocrinology and Metabolic Disorders

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Diagnosis of Cushing's disease
0.00
Surgical treatment of Cushing's disease
19563.05

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Endocrinology and Metabolic Disorders

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Diagnosis of Cushing's disease
0
Surgical treatment of Cushing's disease
0
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About the disease

Cushing disease, also known as Cushing syndrome, is caused by an excessive amount of cortisol hormone in the human body. Cortisol is a hormone that is produced in the adrenal gland and is responsible for regulating the body’s metabolism. It also helps the person to deal with stress and obstructs substances that cause inflammation. An increased amount of cortisol can cause hypertension (high blood pressure) and can have an adverse affect on the sufferer’s metabolism.

People with Cushing disease usually gain weight, with fatty tissue deposits in the face, abdomen and shoulders. Unless this hormonal disorder is treated quickly, it can cause complications such as diabetes, bone loss and problems with blood pressure. It can also cause increased stress and anxiety attacks. Long-term malnutrition and alcoholism can contribute to the development of Cushing disease. Nonetheless, almost 70% of all cases of Cushing disease are related to corticosteroid drugs, which are prescribed as treatment for inflammatory diseases, such as arthritis. These drugs are also used to prevent the body rejecting a transplanted organ.

Symptoms

  • Weight gain
  • Changes in the skin, with pink and sometimes purple stretches on different areas of the body
  • Fatigue
  • Muscle weakness
  • Depression
  • Headaches
  • Bones become more susceptible to fractures
  • Skin becomes tender and bruises more easily
  • Acne
  • Cuts and minor injuries heal slower than usual

Diagnosis

  • During a general examination, a doctor will inspect the patient’s skin for signs of redness and tenderness. How much weight the patient has gained will also be determined and the doctor will consider whether there are any other factors that could have caused it.
  • A 24-hour cortisol test is usually enough to diagnose Cushing disease. It shows whether the patient has an excessive amount of this hormone in their system.
  • CT and MRI scans are sometimes used, to see whether the patient’s bones have been affected by Cushing disease.

Treatment

  • Conservative treatment uses special drugs that can decrease the amount of cortisol in the patient’s body. People who have been taking corticosteroid drugs also need to stop taking them immediately and substitute them with other groups of medications.
  • If the patient has developed Cushing disease due to a naturally occurring over-production of cortisol, the adrenal or pituitary gland can be surgically removed. The pituitary gland can be removed through the patient’s nose and the adrenal gland through the abdomen. 

The best way to eliminate this disease is to prevent its causes.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko