title: Psychiatric symptoms as a clinical presentation of Cushing's syndrome.
abstract: Cushing's syndrome can present with a spectrum of symptoms; however, it is less recognised that psychiatric symptoms can form part of the clinical presenting features. In the investigations for an organic cause for a psychiatric illness, Cushing's syndrome needs to be considered, especially if there are other features such as hirsutism or hypertension. In this article, the two cases reported demonstrate that a prompt diagnosis is not only important for psychiatric management but also crucial for timely institution of the necessary treatment of life-threatening causes of hypercortisolaemia such as metastatic adrenal carcinoma.
authors.affiliation: Department of Endocrinology, St George Hospital, Gray St, Kogarah, New South Wales, Australia. a.osullivan@unsw.edu.au.
authors.forename: Alice
authors.initials: A
authors.lastname: Tang
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: O'Sullivan
authors.forename: Terry
authors.initials: T
authors.lastname: Diamond
authors.forename: Andrew
authors.initials: A
authors.lastname: Gerard
authors.forename: Peter
authors.initials: P
authors.lastname: Campbell