Transition from bipolar affective disorder to intermittent Cushing's syndrome: case report

A patient with a 6-year history of bipolar affective disorder who developed cushingoid features during an exacerbation of her psychiatric condition was found to have intermittent hypersecretion of cortisol. Close observation of this patient for 3 years has revealed that her medical and psychiatric symptoms are controlled by suppression of cortisol with bromocriptine.