主要双边麦克隆块上腺增生症与ARMC5变体和垂体小腺瘤相关
Lucía O'Connor-Ramiro1, Pablo J Fernández1, Julia Maroto2
1Department of Endocrinology and Nutrition, Clínica Universidad de Navarra, Pamplona, Navarra 31008, Spain.
JCEM case reports
|January 8, 2026
概括
这项研究详细介绍了一例罕见的初级双边巨性上腺增生症 (PBMAH) 病例,该病例发生在患有新型ARMC5基因变异的男性身上. 患者还患有脑垂体微小细胞瘤,这种情况在PBMAH和ARMC5变种中很少见.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
背景情况:
- 主要双边巨性上腺增生 (PBMAH) 是一种罕见的内分泌疾病,其特征是上腺腺扩大.
- ARMC5基因的突变与PBMAH的发病有关.
- 库希综合征 (CS) 可能是PBMAH的临床表现.
研究的目的:
- 报告与新型ARMC5变体和并发性垂体腺瘤相关的PBMAH病例.
- 突出这一罕见疾病的临床表现和管理.
主要方法:
- 一个63岁的男性患者的病例报告.
- 对ARMC5变异进行基因检测.
- 激素测定和成像研究 (MRI,光学图像).
- 手术管理 (上腺切除术).
主要成果:
- 鉴定了一种新的生殖系ARMC5变种 (c.2525T>C;p.Phe842Ser).
- 诊断出PBMAH具有轻度库希综合征的特征,进展到明显的CS.
- 检测一个垂体小细胞瘤.
- 成功的右上腺切除术用于管理高皮质醇症.
结论:
- 新型ARMC5变种可能会导致PBMAH的发病.
- 与ARMC5变异相关的PBMAH可以与并发的垂体腺瘤一起呈现.
- 这一案例强调了基因测试和全面评估在管理复杂内分泌疾病方面的重要性.
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