A client with Cushing's syndrome verbalizes concern about the buffalo hump. Which response is 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)

In Cushing's syndrome, excess cortisol causes fat redistribution, including a buffalo hump. When treatment successfully lowers cortisol, these cushingoid changes typically improve, but the reversal happens gradually over time rather than immediately. Saying that these physical changes usually improve following treatment acknowledges the patient’s concern and provides a realistic, hopeful expectation about recovery. It’s supportive without minimizing the issue, and it avoids giving false permanence or dismissiveness.

The other responses are not as appropriate because they dismiss the concern, imply permanency, or focus on coping with appearance rather than the medical trajectory and the patient’s needs during recovery.