TABLE 4

Effects of hypercortisolism

Organ systemManifestation
CardiovascularHypertension, thromboembolism, cardiomyopathy
MetabolicGlucose intolerance/diabetes, hyperlipidemia, obesity
ReproductiveMenstrual irregularities, hirsutism, changes in libido, virilization
DermatologicEasy bruisability, striae, skin atrophy, hyperpigmentation, oily skin
MusculoskeletalProximal muscle wasting, osteopenia/ osteoporosis
NeuropsychiatricPsychosis, emotional lability, depression, anxiety, sleep apnea
Immunologic functionIncreased susceptibility to fungal and bacterial infection, opportunistic infections
OphthalmologicGlaucoma, cataracts, central serous chorioretinopathy, hypertensive retinopathy