A Case of McCunt-Albright Syndrome Associated with Acremegaly and Fibrous Dysplasia.
- Author:
Jung Guk KIM
;
Sung Woo HA
;
Sang Won CHUNG
;
Seong Mo KOO
;
Jae Tae LEE
;
Kyu Bo LEE
;
Yong Sun KIM
;
Sam KWON
;
Bo Wan KIM
- Publication Type:Case Report
- Keywords:
McCune-Albright syndrome;
Fibrous dysplasia;
Acromegaly;
Hyperprolactinemia
- MeSH:
Acromegaly;
Alkaline Phosphatase;
Brain;
Bromocriptine;
Estradiol;
Femur;
Fibrous Dysplasia, Polyostotic;
Glucose Tolerance Test;
Gonadotropin-Releasing Hormone;
Humans;
Hydrocortisone;
Hyperprolactinemia;
Magnetic Resonance Imaging;
Male;
Nasal Bone;
Nasal Cavity;
Occipital Bone;
Pelvic Bones;
Plasma;
Progesterone;
Ribs;
Sella Turcica;
Skin Pigmentation;
Skull;
Testosterone;
Tibia;
Young Adult
- From:Journal of Korean Society of Endocrinology
1998;13(1):108-114
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acromegaly and hyperprolactinemia have been described in association with polyostotic fibrous dysplasia. The pathogenic mechanisms of this endocrinopathy are not clear. We experienced a 19-year-old male with hypersecretion of GH, hyperprolactinemia and fibrous dysplasia. He was referred for evaluation of suspected acromegaly. He had no skin pigmentation. Plasma GH, PRL, somatomedin-C, LH, FSH, testosterone, estradiol, progesterone, T3, T4, TSH and cortisol were measured. Among those, the levels of plasma GH, PRL and somatomedin-C were high. Serum alkaline phosphatase was increased. OGTT did not suppress plasma OH concentration and GH showed paradoxical response to TRH and LHRH. GH was suppressed after a test-dose of somatastatin and bromocriptine. Brain MRI demonstrated a mass lesion in sella turcica and another mass lesions in nasal cavity and posterior occipital bone. Whole body bone scan revealed increased uptake in skull, nasal bone, both 9th posterior rib, both femurs, both tibias, left scapular and pelvic bone. These fmdings were consistent with bone tumor such as fibrous dysplasia. We report a case with incomplete MeCune-Albright syndrome including acromegaly, hyperprolactinemia and polyostotic fibrous dysplasia.
