---
title: "Specific Cortisol Blockade in Cushing's Syndrome"
id: "the-lancet-diabetes-endocrinology-1-specific-cortisol-blockade-in-cushing-s-syndrome"
canonical_url: "https://medichelpline.com/clinical-feed/the-lancet-diabetes-endocrinology-1-specific-cortisol-blockade-in-cushing-s-syndrome"
content_type: "clinical_feed_article"
specialty: "Endocrinology"
source_name: "The Lancet Diabetes & Endocrinology"
source_url: "https://www.thelancet.com/journals/landia/article/PIIS2213-8587(25)00369-9/fulltext?rss=yes"
doi: "10.1016/S2213-8587(25)00369-9"
published_at: "2026-02-20T23:30:02.000Z"
evidence_level: "Journal Feed"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Specific Cortisol Blockade in Cushing's Syndrome
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/the-lancet-diabetes-endocrinology-1-specific-cortisol-blockade-in-cushing-s-syndrome
- **Specialty:** [Endocrinology](https://medichelpline.com/clinical-feed/endocrinology.md)
- **Primary Source:** The Lancet Diabetes & Endocrinology
- **Source URL:** [Original Journal Publication](https://www.thelancet.com/journals/landia/article/PIIS2213-8587(25)00369-9/fulltext?rss=yes)
- **DOI:** [10.1016/S2213-8587(25)00369-9](https://doi.org/10.1016%2FS2213-8587(25)00369-9)
- **Published At:** 2026-02-20T23:30:02.000Z
- **Evidence Rating:** Journal Feed
## Executive GIST (TL;DR)
Cushing's syndrome most commonly results from exogenous glucocorticoid use, prescribed for immune-mediated diseases such as rheumatoid arthritis and asthma, or for certain hematologic cancers. In contrast, endogenous Cushing's syndrome is rare and caused by excessive glucocorticoid production from the adrenal cortex. Within endogenous cases, the majority are ACTH-dependent, with pituitary-originating disease (Cushing’s disease) being the commonest form. The condition was first described by Harvey Cushing in 1932. The summary notes a distinction between iatrogenic Cushing's syndrome due to external steroids and endogenous forms arising from internal adrenal or pituitary sources, but does not provide data on incidence, diagnostic criteria, or treatment outcomes. If further specifics on diagnostic tests, cortisol/ACTH measurements, imaging, or novel cortisol-blockade strategies are needed, those details were not included in the provided material and would require additional sources. The piece contextualizes Cushing's syndrome within both exogenous and endogenous etiologies and highlights the historical description of Cushing's disease.
## Clinical Analysis & Structured Key Points
The Lancet Diabetes & Endocrinology published a clinical update in Research Highlights on 20 Feb 2026. The item focuses on Specific cortisol blockade in Cushing's syndrome. Review the original article for the full source wording and details.
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