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Living with Glucocorticoid resistance

A rare hormone condition in which the body responds less to cortisol-type hormones, with effects that range from none to high blood pressure and hormone changes.

Understanding Glucocorticoid resistance

Glucocorticoid resistance is a rare condition in which body tissues are partly insensitive to glucocorticoid hormones.

Effects vary widely. Some people have no symptoms and only changes in blood tests. Others can have high blood pressure, acne, extra hair, early puberty, male-pattern hair loss, anxiety, depression, and menstrual irregularities in women or low sperm count in men. Girls may have ambiguous genitalia at birth. It can appear at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • High blood pressure
  • Acne
  • Extra body hair (hirsutism)
  • Fatigue
  • Light or infrequent periods
  • Enlarged adrenal glands

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, hormone specialists, maternal-fetal medicine specialists and urinary and male reproductive system specialists.

  3. Consider genetic testing

    Changes in NR3C1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Maternal-fetal medicine specialists (pregnancy-related); Urinary and male reproductive system specialists (urologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing confirm a change in the NR3C1 gene?
Which hormone tests should be followed over time?
Which specialists, such as an endocrinologist, should be on my care team?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive
GenesNR3C1

Changes in the NR3C1 gene cause this condition. GARD lists both autosomal dominant and autosomal recessive inheritance.

GeneticEndocrineUrinary and Reproductive

Also known as: cortisol resistance from glucocorticoid receptor defect; gccr deficiency; gcr deficiency; generalized glucocorticoid resistance syndrome; glucocorticoid receptor deficiency; glucocorticoid resistance, generalized

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Glucocorticoid resistanceGARD ID 2499 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Glucocorticoid resistance.

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Explore research for Glucocorticoid resistance

Explore actively recruiting Glucocorticoid resistance studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Glucocorticoid resistance with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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