Internal medicine (Tokyo, Japan) · 2022
Carney Complex Complicated with Primary Pigmented Nodular Adrenocortical Disease without Cushing's Syndrome Recurrence for Five Years after Unilateral Adrenalectomy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Tsurutani Yuya, Kiriyama Kanako, Kondo Mai, Hasebe Masanori, Sata Akira, Mizuno Yuzo, Sugisawa Chiho, Saito Jun, Nishikawa Tetsuo
Аннотация
We herein report a case of Carney complex (CNC) complicated with primary pigmented nodular adrenocortical disease (PPNAD) after unilateral adrenalectomy. A 44-year-old woman was admitted to our hospital for PPNAD surgery. She had previously undergone surgery for cardiac myxoma and had a PRKAR1A mutation with no family history of CNC. She had Cushing's signs, but her metabolic abnormalities were mild. Adrenal insufficiency due to poor medication adherence was a concern, so she underwent unilateral adrenalectomy. Cushing's signs improved postoperatively and without recurrence for five years. Treatment plans for PPNAD should be determined based on the patient's condition, medication adherence, and wishes.