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Urban, C; Weinhäusel, A; Fritsch, P; Sovinz, P; Weinhandl, G; Lackner, H; Moritz, A; Haas, OA.
Primary pigmented nodular adrenocortical disease (PPNAD) and pituitary adenoma in a boy with sporadic Carney complex due to a novel, de novo paternal PRKAR1A mutation (R96X).
J Pediatr Endocrinol Metab. 2007; 20(2): 247-252. Doi: 10.1515/JPEM.2007.20.2.247 (- Case Report)
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Leading authors Med Uni Graz
Urban Ernst-Christian
Co-authors Med Uni Graz
Fritsch Peter
Lackner Herwig
Ritter-Sovinz Petra
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Abstract:
We report the sporadic case of a 9 year-old boy with Carney syndrome, who presented with precocious puberty due to the endocrinological effects of primary pigmented nodular adrenocortical disease (PPNAD) and a synchronous pituitary adenoma. The adrenal tumor was removed surgically. Following unsuccessful treatment with bromocriptine the pituitary adenoma was also resected and a residual tumor irradiated. Thirty months after diagnosis the boy is free of symptoms. Mutation screening of the entire coding region of the PRKAR1A gene identified five single nucleotide exchanges, four of which were either heterozygous or homozygous polymorphic variants that were also present in his parents. However, the hitherto unreported disease-relevant mutation R96X in exon 3 had occurred de novo on the paternal allele.
Find related publications in this database (using NLM MeSH Indexing)
Adenoma - diagnosis
Adrenal Cortex Diseases - diagnosis
Alleles - diagnosis
Child - diagnosis
Cyclic AMP-Dependent Protein Kinase RIalpha Subunit - diagnosis
Cyclic AMP-Dependent Protein Kinases - genetics
Germ-Line Mutation - genetics
Humans - genetics
Male - genetics
Multiple Endocrine Neoplasia - diagnosis
Myxoma - diagnosis
Pigmentation Disorders - diagnosis
Pituitary Neoplasms - diagnosis
Polymorphism, Single Nucleotide - genetics
Soft Tissue Neoplasms - diagnosis
Syndrome - diagnosis

Find related publications in this database (Keywords)
Carney complex
myxoma
Cushing's syndrome
PPNAD
pituitary adenoma
skin pigmentation
PRKAR1A mutation
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