PMID- 23869313 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130722 LR - 20211021 IS - 2230-8210 (Print) IS - 2230-9500 (Electronic) IS - 2230-9500 (Linking) VI - 17 IP - 3 DP - 2013 May TI - Hidden diagnosis of multiple endocrine neoplasia-1 unraveled during workup of virilization caused by adrenocortical carcinoma. PG - 514-8 LID - 10.4103/2230-8210.111672 [doi] AB - Multiple endocrine neoplasia-1 (MEN1) is an autosomal dominant syndrome with classic triad of parathyroid hyperplasia, pancreatic neuroendocrine tumors, and pituitary adenomas. Other recognized manifestations include carcinoid, cutaneous or adrenocortical tumors. It is commonly presented with clinical features related to parathyroid, pancreas or pituitary lesions. Here, we have presented a case that had virilization and biochemical Cushing's syndrome due to adrenocortical carcinoma as presenting feature of MEN1. Cushing's syndrome in MEN1 is an extremely rare and usually late manifestation and most cases are due to corticotropin-producing pituitary adenomas. Although Cushing's syndrome generally develops years after the more typical manifestations of MEN1 appear, it may be the primary manifestation of MEN1 syndrome particularly when related to adrenal adenoma or carcinoma. FAU - Kharb, Sandeep AU - Kharb S AD - Department of Endocrinology, Army Hospital (Research and Referral), Delhi Cantt, India. FAU - Pandit, Aditi AU - Pandit A FAU - Gundgurthi, Abhay AU - Gundgurthi A FAU - Garg, M K AU - Garg MK FAU - Brar, K S AU - Brar KS FAU - Kannan, N AU - Kannan N FAU - Bharwaj, Reena AU - Bharwaj R LA - eng PT - Case Reports PL - India TA - Indian J Endocrinol Metab JT - Indian journal of endocrinology and metabolism JID - 101555690 PMC - PMC3712387 OTO - NOTNLM OT - Adrenocortical carcinoma OT - Cushing's syndrome OT - multiple endocrine neoplasia-1 OT - virilizing syndrome COIS- Conflict of Interest: No EDAT- 2013/07/23 06:00 MHDA- 2013/07/23 06:01 PMCR- 2013/05/01 CRDT- 2013/07/23 06:00 PHST- 2013/07/23 06:00 [entrez] PHST- 2013/07/23 06:00 [pubmed] PHST- 2013/07/23 06:01 [medline] PHST- 2013/05/01 00:00 [pmc-release] AID - IJEM-17-514 [pii] AID - 10.4103/2230-8210.111672 [doi] PST - ppublish SO - Indian J Endocrinol Metab. 2013 May;17(3):514-8. doi: 10.4103/2230-8210.111672.