McCune albright syndrome with severe facial disfigurement

Introduction: McCune Albright syndrome (MAS) is a rare disease due to post zygotic somatic activating mutation in the Gs protein. It includes skin patches, bone dysplasia, and hyperfunctioning endocrinopathies. Our objective is to report an unusual disfiguring form with precocious pseudo puberty (PPP), and hot thyroid nodule. Case report: A 19 year-old girl was hospitalized for the first time at the age of 5.5 years for breast development and vaginal bleeding which began when she was 6 months old. The diagnosis was PPP due to MAS. In addition to ovarian hyperfunction, there were multifocal disfiguring bone dysplasia, and brown skin patches. As aromatase inhibitors were not available, she was treated by cyproterone acetate, which was efficient on the ovarian function, but not on bone maturation (final height: 1.35m, bone deformities, and recurrent fractures). Fortunately, bone dysplasia was stabilized under biphosphonates. But, ovarian hyper functioning relapsed, because of polycystic ovaries. Following that, a hot thyroid nodule with normal thyroid function appeared. Conclusion: This patient has MAS with severe bone dysplasia leading to a disfiguring face, hot thyroid nodule, and ovarian hyper function causing PPP then polycystic ovaries. So, in future checking for tumours development due to estrogens excess is mandatory.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
McCune albright syndrome with severe facial disfigurement ; volume:05 ; number:03 ; year:2013 ; pages:157-161
Ibnosina journal of medicine and biomedical sciences ; 05, Heft 03 (2013), 157-161

Beteiligte Personen und Organisationen
Chentli, Farida
Zentar, Yamina
Fedala, Nora
Azzoug, Said

DOI
10.4103/1947-489X.210539
URN
urn:nbn:de:101:1-2022101002325826187746
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:36 MESZ

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Beteiligte

  • Chentli, Farida
  • Zentar, Yamina
  • Fedala, Nora
  • Azzoug, Said

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