title: Factitious Cushing's syndrome.
abstract: In this report we describe a patient who produced the clinical and laboratory features of Cushing's syndrome by injecting himself for many months with hydrocortisone. Factitious Cushing's syndrome is a variant of the Münchausen syndrome and should be considered if tests used to establish the diagnosis of Cushing's syndrome appear incongruous particularly in subjects with access to medical intelligence and drugs.
mesh_terms: D000328:Adult; D003480:Cushing Syndrome / Q000139:chemically induced* / Q000175:diagnosis; D003907:Dexamethasone; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000097:blood; D008297:Male; D009110:Munchausen Syndrome / Q000175:diagnosis*; D010901:Pituitary Function Tests; D012651:Self Medication / Q000523:psychology; D019966:Substance-Related Disorders
chemical_list: D003907:Dexamethasone; D006854:Hydrocortisone