title: [A case of Cushing's syndrome caused by primary pigmentary nodular hyperplasia].
abstract: Primary pigmented nodular adrenocortical disease is a rare cause of Cushing's syndrome in children and young adults. It is characterized by hypercorticolism resistant to dexamethasone suppression and at microscopic examination by multiple small black cortical nodules containing large cells with eosinophilic cytoplasm and lipofuscin with internodular cortical atrophy. Its pathogenesis is unknown. Bilateral adrenalectomy is the treatment of choice. We report a case of Cushing's syndrome due to primary pigmented nodular adrenocortical disease in a 32 year old female and review the literature.
authors.affiliation: Servicio de Endocrinología, División de Medicina interna 11, Hospital de Especialidades # 25 Instituto Mexicano del Seguro Social, Monterrey, N.L. México.
authors.forename: H E
authors.initials: HE
authors.lastname: Tamez-Pérez
authors.forename: N A
authors.initials: NA
authors.lastname: Cabello-Udave
authors.forename: A
authors.initials: A
authors.lastname: Zavala-Pompa
mesh_terms: D000303:Adrenal Cortex Diseases / Q000150:complications* / Q000378:metabolism; D000328:Adult; D003480:Cushing Syndrome / Q000209:etiology* / Q000378:metabolism; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism
chemical_list: D006854:Hydrocortisone
vernacular_title: Un caso de síndrome de Cushing por hiperplasia nodular pigmentaria primaria.