ea0020p300 | Clinical case reports and clinical reports | ECE2009
Cole David
, Soule Steven
Primary pigmented nodular adrenocortical disease (PPNAD) is a rare cause of ACTH independent adrenal Cushings syndrome. A 32-year-old female with atrial myxomas was found to have Carneys complex (PRKAR1A mutation negative). Screening showed biochemical Cushings syndrome (24 h urine free cortisol 918 nmol nr 100400) and the characteristic paradoxical increase in UFC during the 48 h dexamethasone suppression test was confirmed: 24 h UFC pre-dex 340...