You’re so vain, I’ll bet you think this post is about you

Cushing’s is a pretty brutal way of coming face-to-face with your vanity.

Cushing’s syndrome is what happens if your body is exposed to excess cortisol.  You can get Cushing’s by taking glucocorticoid medications (like Prednisone) for an extended period of time.  Or you can get Cushing’s from a tumor.   Tumors on the adrenal gland produce cortisol directly.  Other tumors, either pituitary tumors (Cushing’s disease) or tumors in other locations such as the lung (ectopic Cushing’s) produce the pituitary hormone ACTH which in turn stimulates the adrenal gland to produce excess cortisol.

If you google Cushing’s, invariably you will come across a picture something like this:


This picture gives you a pretty good idea of what Cushing’s does to the human body on a superficial level.  You gain a lot of weight, typically in your midsection.  You get a “moon face” which means your face gets really round and puffy.  And you get a lump of fat at the base of your neck, often called a “buffalo hump” because, well, it looks the humps buffalos have on their backs


Cushing’s also often causes people to break out in cystic acne and very often to get straie – dark red or purple stretch marks – on the abdomen, hips and other locations.   Your skin gets really thin and you often lose hair on top of your head too.  Not all patients experience all of  these changes in their bodies but most people experience at least some of them.

This picture gives you a good idea of what Cushing’s does to your appearance.  What this picture doesn’t show is how these changes affect patients emotionally.  As you start to get sick, the body you have been living in since birth begins to transform before your very eyes.  At some point, you look in the mirror and you no longer recognize the person staring back at you.  You don’t feel like yourself and now you don’t look like yourself either.

It might seem that the last thing you should be thinking about when living through a serious illness is your appearance.  But Cushing’s made me acutely aware of how central my physical appearance is to my identity.  I used to be thin and fit.  Within the blink of an eye, I became bulky and unhealthy.  I used to have thick, lustrous hair.  Now, my hairline is receding.  I used to wear size 2 dresses to work everyday.  Now I wear maternity clothes as they are the only thing that comfortably fit over my belly.   I used pride myself on not caring too much about my appearance.  Now I obsess about it all the time.

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