Rare genetic disorder characterized by multiple benign tumours (multiple neoplasia) most often affecting the heart, skin and endocrine system and abnormalities in skin pigmentation
Aetiology
- Mutation in PRKAR1A - defective regulatory subunit leading to aberrant PKA signalling → uncontrolled proliferation
Clinical presentation

- PPNAD is primary pigmented nodular adrenocortical disease
- Causes the adrenal glands to procude an excess of cortisol leading to the development of Cushings