ACTH hypersecretion

hypersecretion of glucocorticoids (cortisol)

hipercortisolsm

decreased absorption and conversion of amino acids to protein

decreased protein synthesis

protein catabolism in the skin

increased myofibrillar proteinase activity

protein catabolism in muscle

muscle weakness and atrophy

impaired physical mobility


thinning of the skin

striae, brittle skin, bruising, ecchymosis, plethoric appearance of the face, bruisability

body image disturbance

impaired skin integrity

increased gluconeogenesis

insulin resistance

glucose intolerance

hiperglikemia

destroys osteoblastic tissue

destroys osteoblastic tissue

decreased bone matrix

brittle bones

fracture risk

distress gastrointestinal

increase in stomach acid

risk of gastric mucosal injury

pain and nutritional disorders

Body fat is redistributed

central distribution

face, abdomen and back

moon face, buffalo hump, plektorik

increase in basic encephalographic rhythms

insomnia, euphoria, psychosis symptoms

thought process disorder