title: A case of cushing syndrome diagnosed by recurrent pathologic fractures in a young woman.
abstract: Cushing's syndrome is characterized by central obesity, fatigability, weakness, amenorrhea, hirsutism, edema, hypertension, impaired glucose tolerance, and osteoporosis due to excessive production of steroids. Cushing's syndrome is an important cause of secondary osteoporosis. Patients with Cushing's syndrome have a high incidence of osteoporotic fractures. At least, 30-50% of patients with Cushing's syndrome experience fractures, particularly in the vertebral body. And it is consistent with the 50% prevalence of osteoporosis in patients with Cushing's syndrome. However, reports of multiple pathological fractures in young patients with Cushing's syndrome are rare. Thus, we describe the case of a 26-year-old woman with Cushing's syndrome accompanied with recurrent multiple osteoporotic fractures and being treated by parathyroid hormone. Careful consideration for the possibility of Cushing's syndrome will be necessary in case of young patients with a spontaneous multiple compression fractures in spine.
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Ju Young
authors: JY
authors: Han
authors: Serim General Hospital, Incheon, Korea.
authors: Jungjin
authors: J
authors: Lee
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Gyung Eun
authors: GE
authors: Kim
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Jin Yeob
authors: JY
authors: Yeo
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: So Hun
authors: SH
authors: Kim
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Moonsuk
authors: M
authors: Nam
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Yong Seong
authors: YS
authors: Kim
authors: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Seongbin
authors: S
authors: Hong
keywords: Cushing syndrome; Osteoporotic fractures