Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias

Adrenocorticotropin-independent adrenal hyperplasias are rare diseases, which are classified into macronodular (>1 cm) and micronodular (≤1 cm) hyperplasia. Micronodular adrenal hyperplasia is subdivided into primary pigmented adrenocortical disease and a limited or nonpigmented form 'micron...

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Main Authors: Hyeoh Won Yu, Won Im Cho, Hye Rim Chung, Keun Hee Choi, Sumi Yun, Hwan Seong Cho, Choong Ho Shin, Sei Won Yang
Format: Article
Language:English
Published: Korean Society of Pediatric Endocrinology 2016-03-01
Series:Annals of Pediatric Endocrinology & Metabolism
Subjects:
Online Access:http://e-apem.org/upload/pdf/apem-21-47.pdf
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author Hyeoh Won Yu
Won Im Cho
Hye Rim Chung
Keun Hee Choi
Sumi Yun
Hwan Seong Cho
Choong Ho Shin
Sei Won Yang
author_facet Hyeoh Won Yu
Won Im Cho
Hye Rim Chung
Keun Hee Choi
Sumi Yun
Hwan Seong Cho
Choong Ho Shin
Sei Won Yang
author_sort Hyeoh Won Yu
collection DOAJ
description Adrenocorticotropin-independent adrenal hyperplasias are rare diseases, which are classified into macronodular (>1 cm) and micronodular (≤1 cm) hyperplasia. Micronodular adrenal hyperplasia is subdivided into primary pigmented adrenocortical disease and a limited or nonpigmented form 'micronodular adrenocortical disease (MAD)', although considerable morphological and genetic overlap is observed between the 2 groups. We present an unusual case of a 44-month-old girl who was diagnosed with Cushing syndrome due to MAD. She had presented with spotty pigmentation on her oral mucosa, lips and conjunctivae and was diagnosed with multiple bone tumors in her femur, pelvis and skull base at the age of 8 years. Her bone tumor biopsies were compatible with osteoblastoma. This case highlights the importance of verifying the clinicopathologic correlation in Cushing syndrome and careful follow-up and screening for associated diseases.
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spelling doaj.art-b482fccf2199439eb1d06b429cc16f732022-12-21T23:04:29ZengKorean Society of Pediatric EndocrinologyAnnals of Pediatric Endocrinology & Metabolism2287-10122287-12922016-03-01211475010.6065/apem.2016.21.1.47644Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasiasHyeoh Won Yu0Won Im Cho1Hye Rim Chung2Keun Hee Choi3Sumi Yun4Hwan Seong Cho5Choong Ho Shin6Sei Won Yang7Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.Adrenocorticotropin-independent adrenal hyperplasias are rare diseases, which are classified into macronodular (>1 cm) and micronodular (≤1 cm) hyperplasia. Micronodular adrenal hyperplasia is subdivided into primary pigmented adrenocortical disease and a limited or nonpigmented form 'micronodular adrenocortical disease (MAD)', although considerable morphological and genetic overlap is observed between the 2 groups. We present an unusual case of a 44-month-old girl who was diagnosed with Cushing syndrome due to MAD. She had presented with spotty pigmentation on her oral mucosa, lips and conjunctivae and was diagnosed with multiple bone tumors in her femur, pelvis and skull base at the age of 8 years. Her bone tumor biopsies were compatible with osteoblastoma. This case highlights the importance of verifying the clinicopathologic correlation in Cushing syndrome and careful follow-up and screening for associated diseases.http://e-apem.org/upload/pdf/apem-21-47.pdfCushing syndromeMicronodular adrenal diseaseOsteoblastoma
spellingShingle Hyeoh Won Yu
Won Im Cho
Hye Rim Chung
Keun Hee Choi
Sumi Yun
Hwan Seong Cho
Choong Ho Shin
Sei Won Yang
Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias
Annals of Pediatric Endocrinology & Metabolism
Cushing syndrome
Micronodular adrenal disease
Osteoblastoma
title Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias
title_full Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias
title_fullStr Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias
title_full_unstemmed Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias
title_short Multiple osteoblastomas in a child with Cushing syndrome due to bilateral adrenal micronodular hyperplasias
title_sort multiple osteoblastomas in a child with cushing syndrome due to bilateral adrenal micronodular hyperplasias
topic Cushing syndrome
Micronodular adrenal disease
Osteoblastoma
url http://e-apem.org/upload/pdf/apem-21-47.pdf
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