A Case of Munchausen Syndrome Presenting as a Cushing Syndrome in a Patient with Major Depressive Disorder

Abstract

's syndrome is a psychiatric problem in which patients inflict an illness on themselves with the aim of playing in the role of being sick. İn this paper a 38-yearold woman with a history of MDD (Major Depressive Disorder) is introduced with uncontrolled hypertension, high blood sugar and cushingoid appearance in the result of high dose exogenous steroids injections secretly and without a prescription. She was interested in hospitalization by inducing hypertension crisis and hyperglycemia. Exogenous Cushing Syndrome was diagnosed according to laboratory findings and patient history during admission. Finally, Cushing Syndrome gradually improved over the months by psychotherapy and treatment with antidepressant drugs.