Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/130598
Title: Unravelling the mystery in a case of persistent ACTH-independent Cushing's syndrome
Authors: Ling, C.L.
Tan, L.H.C. 
Rajasoorya, C.
Keywords: Adrenocortical hyperfunction
Cushing's syndrome
Nodular adrenocortical disease
Issue Date: Dec-2006
Citation: Ling, C.L., Tan, L.H.C., Rajasoorya, C. (2006-12). Unravelling the mystery in a case of persistent ACTH-independent Cushing's syndrome. Annals of the Academy of Medicine Singapore 35 (12) : 892-896. ScholarBank@NUS Repository.
Abstract: Introduction: We present a rare variety of adrenocorticotrophic hormone (ACTH)-independent Cushing's syndrome known as primary pigmented nodular adrenocortical disease (PPNAD). Clinical Picture: The patient initially underwent unilateral adrenalectomy for what was thought to be a left adrenal adenoma. Outcome: Partial resolution of symptoms and demonstrable persistent hypercortisolism after surgery prompted further evaluation with findings leading to the diagnosis of Carney complex. A review of the adrenal histology was consistent with PPNAD. Conclusion: This entity of PPNAD, which has rarely been reported in Asians, forms part of the Carney complex. The diagnosis may not be simple and straightforward, as illustrated in this patient.
Source Title: Annals of the Academy of Medicine Singapore
URI: http://scholarbank.nus.edu.sg/handle/10635/130598
ISSN: 03044602
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.

Page view(s)

11
checked on Mar 10, 2018

Google ScholarTM

Check


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.