hrp0089p2-p022 | Adrenals and HPA Axis P2 | ESPE2018
Higuchi Shinji
, Kawakita Rie
, Hosokawa Yuki
, Yamada Yuki
, Oyachi Maki
, Matsumura Kana
, Yorifuji Tohru
Background: Bilateral primary pigmented nodular adrenocortical disease (PPNAD) is one of the rare causes of Cushing syndrome, which has traditionally been treated by bilateral adrenalectomy. However, bilateral adrenalectomy mandates life-long adrenal hormone replacement and the patients remain at risk of adrenal failure for the rest of their lives. In adult patients with PPNAD, there have been a few reports of successful unilateral adrenalectomy. However, to our knowledge, the...