title: Adrenal Cushing's syndrome may resemble eating disorders.
abstract: We encountered a patient who presented extreme weight loss and received an eating disorder diagnosis that was later identified as adrenal Cushing's syndrome. A 32-year-old woman with a 2-year history of an eating disorder was admitted to our psychiatric ward due to dehydration, malnutrition and low weight. Her height and body weight were 152.1 cm and 29.8 kg, respectively (body mass index: 12.8). Her other symptoms included a depressed mood, decreased interest, retardation and suicidal ideation. Standard medical cares were prescribed to treat the depressive symptoms and eating disorder, but the depressive episode and low body weight of the patient persisted. Computed tomography of the abdomen revealed an unexpected left adrenal gland tumor. Cushing's syndrome was diagnosed based on several endocrinological examinations. After an enucleation of the left adrenal gland tumor, the patient began eating, and her body weight increased gradually. Her body weight increased to 42.0-47.0 kg (body mass index: 18.2-20.3). Her mental and physical conditions had stabilized. This case suggests that adrenal Cushing's syndrome may resemble eating disorders.
authors.affiliation: Department of Neuropsychiatry, Ohdate City Hospital, Ohdate, Japan. Electronic address: yasufuru@cc.hirosaki-u.ac.jp.
authors.forename: Makiko
authors.initials: M
authors.lastname: Hatakeyama
authors.affiliation: Department of Neuropsychiatry, Ohdate City Hospital, Ohdate, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Nakagami
authors.affiliation: Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
authors.forename: Norio
authors.initials: N
authors.lastname: Yasui-Furukori
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D003480:Cushing Syndrome / Q000150:complications / Q000175:diagnosis*; D003863:Depression / Q000175:diagnosis / Q000209:etiology; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D015431:Weight Loss
keywords: Adrenal Cushing's syndrome; Depression; Eating disorder; Weight loss