Gender-Specific Differences in Clinical Profile and Biochemical Parameters in Patients with Cushing's Disease: A

Xiaoxia Liu1, Xiaoming Zhu1, Meifang Zeng1

  • 1Division of Endocrinology and Metabolism, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.

Insights

Males with Cushing's disease (CD) exhibit more severe clinical presentations and adverse outcomes. This study highlights significant gender differences in CD, emphasizing the need for focused clinical attention on male patients.

Area of Science:

  • Endocrinology
  • Internal Medicine

Background:

  • Cushing's disease (CD) disproportionately affects females.
  • Males with CD often present with more severe clinical manifestations and poorer outcomes.

Purpose of the Study:

  • To investigate gender-based differences in the clinical profile and biochemical parameters of Cushing's disease.
  • To identify specific risk factors and complications associated with gender in CD patients.

Main Methods:

  • Retrospective analysis of 73 Cushing's disease patients diagnosed between 2012-2013.
  • Comparison of clinical presentations and biochemical data between male and female patients.
  • Multiple linear regression analysis to assess correlations between risk factors and clinical outcomes.

Main Results:

  • Males showed significantly higher levels of ACTH, BMI, HbA1c, systolic blood pressure, and hemoglobin compared to females.
  • Increased incidence of fatty liver and altered hepatic function were observed in males.
  • Gender was a significant predictor for hypokalemia, HbA1c, and systolic blood pressure, with males exhibiting more severe indicators.

Conclusions:

  • Male patients with Cushing's disease experience more severe clinical symptoms, biochemical abnormalities, and complications.
  • Healthcare professionals should increase vigilance in the diagnosis and management of Cushing's disease in males.

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