Cushing's syndrome due to primary adrenocortical nodular dysplasia, cardiac myxomas, and spotty pigmentation, complicated by sarcoidosis.

H. Akama, H. Tanaka, H. Yamada, H. Oshima, Y. Ichikawa, Tadashi Yoshida, S. Kawai, Y. Ikeda

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 23-year-old male patient revealed hypercortisolism with stigmata of Cushing's syndrome, and post-operative pathological examination demonstrated primary adrenal nodular dysplasia. Because of the presence of cardiac myxomas and skin pigmentation, the diagnosis of Carney's complex was given. After the control of hypercortisolism by adrenalectomy, the patient experienced iridocyclitis and bilateral hilar lymphadenopathy with elevated levels of serum angiotensin-converting enzyme and lysozyme, all of which indicated the presence of sarcoidosis. Despite the numerous recent descriptions concerning Carney's complex, an association with sarcoidosis has not yet been documented. Moreover, the sequential occurrence of sarcoidosis after adrenalectomy suggests an etiological link between these two rare disorders.

Original languageEnglish
Pages (from-to)1329-1334
Number of pages6
JournalInternal medicine (Tokyo, Japan)
Volume31
Issue number11
Publication statusPublished - 1992 Nov

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Myxoma
Cushing Syndrome
Pigmentation
Sarcoidosis
Carney Complex
Adrenalectomy
Iridocyclitis
Skin Pigmentation
Christianity
Peptidyl-Dipeptidase A
Muramidase
Serum
Pigmented Nodular Adrenocortical Disease, Primary, 1

ASJC Scopus subject areas

  • Internal Medicine

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Cushing's syndrome due to primary adrenocortical nodular dysplasia, cardiac myxomas, and spotty pigmentation, complicated by sarcoidosis. / Akama, H.; Tanaka, H.; Yamada, H.; Oshima, H.; Ichikawa, Y.; Yoshida, Tadashi; Kawai, S.; Ikeda, Y.

In: Internal medicine (Tokyo, Japan), Vol. 31, No. 11, 11.1992, p. 1329-1334.

Research output: Contribution to journalArticle

Akama, H. ; Tanaka, H. ; Yamada, H. ; Oshima, H. ; Ichikawa, Y. ; Yoshida, Tadashi ; Kawai, S. ; Ikeda, Y. / Cushing's syndrome due to primary adrenocortical nodular dysplasia, cardiac myxomas, and spotty pigmentation, complicated by sarcoidosis. In: Internal medicine (Tokyo, Japan). 1992 ; Vol. 31, No. 11. pp. 1329-1334.
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