<prompt> Pseudo-cushing syndrome is seen in:Chronic alcoholismIncidentalomaAdrenal carcinomaNelson syndrome  <response>: Pseudo-Cushing syndrome : In alcoholics there is increased urinary excretion of steroids Absent diurnal variation of plasma steroids with positive overnight Dexamethasone test. All of these biochemical derangement decrease on Alcohol discontinuation. High MCV and gamma glutamyl transferase will be indicative of alcoholism. 