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Actas Dermosifiliogr ; 101(1): 76-80, 2010.
Article in Spanish | MEDLINE | ID: mdl-20109395

ABSTRACT

Nelson syndrome is a rare cause of generalized mucocutaneous hyperpigmentation. Its clinical manifestations are due to excessive secretion of adrenocorticotropic hormone from a pituitary adenoma, which develops after bilateral therapeutic adrenalectomy. As this operation has fallen into disuse, Nelson syndrome is now extremely rare and difficult to recognize. We present a very severe case of generalized hyperpigmentation due to Nelson syndrome in a 37-year-old woman.


Subject(s)
Adenoma/etiology , Adrenalectomy/adverse effects , Nelson Syndrome/etiology , Adenoma/complications , Adenoma/diagnosis , Adenoma/drug therapy , Adenoma/surgery , Adult , Cabergoline , Combined Modality Therapy , Dicarboxylic Acids/therapeutic use , Ergolines/therapeutic use , Female , Hormone Replacement Therapy , Humans , Hydrocortisone/therapeutic use , Hypophysectomy , Nelson Syndrome/diagnosis , Nelson Syndrome/drug therapy , Nelson Syndrome/pathology , Nelson Syndrome/surgery , Neoplasms, Multiple Primary , Peptides, Cyclic/therapeutic use , Pituitary ACTH Hypersecretion/drug therapy , Pituitary ACTH Hypersecretion/etiology , Pituitary ACTH Hypersecretion/surgery , Pituitary Apoplexy/complications , Pituitary Apoplexy/surgery , Pituitary Neoplasms/complications , Pituitary Neoplasms/surgery , Radiosurgery , Somatostatin/analogs & derivatives , Somatostatin/therapeutic use , Thyroxine/therapeutic use
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