results in Cushing’s syndrome. In most situations this is caused by therapeutic administration of steroid hormones. Spontaneous cases are rare.
Spontaneous cases can be divided into two categories,
Increased secretion of glucocorticoids due to the increased circulating levels of ACTH from the pituitary.
Increase in endogenous secretion by adrenal tumor or nodular hyperplasia.
Clinical features
Pigmentation – occurs only in higher ACTH levels.
Adrenal diabetes
Moon face and buffalo hump
Characteristic distribution of fat (Less fat in extremities and more fat in the chest and abdomen)
Hypokalaemia due to mineralocorticoid action of glucocorticoids
Treatment
If untreated, has a very bad prognosis
Death can be caused by hypertension, myocardial infarction and heart failure
The usual drug is metyrapone.it is a 11β-hydroxylase blocker.

