A Novel Mutation in the type Iα Regulatory Subunit of Protein Kinase A (<i>PRKAR1A</i>) in a Cushing's Syndrome Patient with Primary Pigmented Nodular Adrenocortical Disease

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A Novel PRKAR1A Mutation Identified in a Patient with Isolated Primary Pigmented Nodular Adrenocortical Disease

Primary pigmented nodular adrenocortical disease (PPNAD) is a rare cause of Cushing syndrome, especially the isolated form without Carney complex, associated with germline mutations in PRKAR1A, the protein kinase A regulatory subunit type 1 alpha gene. We report a 31-year-old female who presented with secondary amenorrhea, cushingoid appearance, and hypertension without Carney complex. Biochemi...

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Primary pigmented nodular adrenocortical disease (PPNAD) is a rare adrenal tumour causing corticotrophin-independent Cushing's syndrome. It occurs mainly in children and young adults. The histological examination is characterised by small pigmented micronodules on the adrenal cortex. The diagnosis is most often seen in patients with Carney Complex, but it can also occur in isolation. We report ...

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ژورنال

عنوان ژورنال: Internal Medicine

سال: 2016

ISSN: 0918-2918,1349-7235

DOI: 10.2169/internalmedicine.55.6605