A client with Cushing's syndrome asks about the buffalo hump that has developed. Which response by the nurse is most appropriate?

• A. Don't be concerned, this problem can be covered with clothing.
• B. This is permanent, but looks are deceiving and not that important.
• C. Usually, these physical changes slowly improve following treatment.
• D. Try not to worry about it. There are other things to be concerned about.

Answer: (C)

Excess cortisol in Cushing's causes fat to be redistributed, producing the dorsocervical fat pad known as a buffalo hump. When treatment correctly lowers cortisol, this abnormal fat distribution gradually reverses as hormone levels normalize. The change is slow, and improvement in the buffalo hump typically occurs over weeks to months after effective therapy. The most appropriate nursing response reassures that these changes aren’t permanent and will gradually improve with treatment and time, while also supporting the patient’s adjustment and adherence.