— 生理適應 · EASY · MCQ —
護理師評估庫興氏症候群（Cushing's syndrome）病人時，預期會見到哪項身體特徵？
A nurse is assessing a client with Cushing's syndrome. Which physical finding is expected?
- AHypotension低血壓
- BWeight loss and muscle wasting體重減輕與肌肉萎縮
- CHyperpigmentation of the skin皮膚色素沈著
- DTruncal obesity and purple striae✓ 正解軀幹肥胖與紫紅色紋路
— Explanation · 中文詳解 —
庫興氏症候群源於體內糖皮質類固醇過量。典型症狀包括軀幹性肥胖（Truncal obesity）、月亮臉、水牛肩，以及皮膚變薄出現紫色條紋（Purple striae）。這與 Addison's disease（腎上腺皮質功能不足）的色素沉澱、體重減輕與低血壓表現截然不同。
Cushing's syndrome is characterized by cortisol excess, leading to truncal obesity and the development of purple striae due to skin thinning and capillary fragility. Unlike Addison's disease, which presents with hypotension and hyperpigmentation, Cushing's typically causes hypertension, weight gain, and muscle wasting rather than loss.
✦ 台美臨床差異
兩地治療方針一致，但在美國護理師常需教育病人長期使用類固醇的併發症預防，台灣則針對已住院症狀進行衛教較多。