Cited by 48Adrenal and Paraganglionic TumorsAdrenal Hormones and DisordersHormonal Regulation and Hypertension

Adrenocortical hyperplasia: A multifaceted disease

Bourdeau, Isabelle, Parisien-La Salle, Stéfanie, Lacroix, André·2020·Best Practice & Research Clinical Endocrinology & Metabolism

Abstract

Adrenocortical hyperplasia may develop in different contexts. Primary adrenal hyperplasia may be secondary to primary bilateral macronodular adrenocortical hyperplasia (PBMAH) or micronodular bilateral adrenal hyperplasia (MiBAH) which may be divided in primary pigmented nodular adrenocortical disease (PPNAD) and isolated micronodular adrenocortical disease (i-MAD). Both lead to oversecretion of cortisol and potentially to Cushing's syndrome. Moreover, adrenocortical hyperplasia may be secondary to longstanding ACTH stimulation in ACTH oversecretion as in Cushing's disease, ectopic ACTH secretion or glucocorticoid resistance syndrome and congenital adrenal hyperplasia secondary to various enzymatic defects within the cortex. Finally, idiopathic bilateral adrenal hyperplasia is the most common cause of primary aldosteronism. We will discuss recent findings on the multifaceted forms of adrenocortical hyperplasia.

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Crossref · 10.1016/j.beem.2020.101386

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  • Bilateral adrenal hyperplasia, and to a lesser extent adrenal adenomas, is often associated with eutopic or ectopic hormone receptor expression with coupling to steroidogenesis.

    “Bilateral adrenal hyperplasia, and to a lesser extent adrenal adenomas, is often associated with eutopic or ectopic hormone receptor expression with coupling to steroidogenesis (85).”

    From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [85]

  • Screening for aberrant hormone receptor expression with specific stimulation tests may offer an option for medical therapy via blockade of the receptor or inhibition of secretion of the endogenous ligand.

    “Screening for aberrant hormone receptor expression with specific stimulation tests may offer an option for medical therapy via blockade of the receptor or inhibition of secretion of the endogenous ligand (85).”

    From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [85]

  • Examples of aberrant hormone receptors in bilateral adrenal hyperplasia include the vasopressin receptor, LH receptor, and glucose-dependent insulinotropic polypeptide receptor.

    “Examples are the vasopressin receptor, LH receptor, and the glucose-dependent insulinotropic polypeptide receptor.”

    From Approach to the Patient: Diagnosis of Cushing Syndrome (2022) · cites this paper as [85]

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Authors
Bourdeau, I., Parisien-La Salle, S., & Lacroix, A.
Affiliations
Centre Hospitalier de l’Université de Montréal (CA)
Corresponding author
Lacroix, André
Venue
Best Practice & Research Clinical Endocrinology & Metabolism
Publisher
Elsevier BV
Published
2020-05
Volume
34
Issue
3
Pages
101386
ISSN
1521-690X (ISSN-L)
OpenAlex
W3004754163
Cited by
48
References
114
Citations by year
2026: 7 · 2025: 2 · 2024: 6 · 2023: 7 · 2022: 17 · 2021: 7 · 2020: 1
FWCI
1.82
Type
journal article
Language
en
Open access
closed
Locations
  • Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
Keywords
adrenocortical hyperplasia, primary pigmented nodular adrenocortical disease, Cushing's syndrome, Cushing's disease, ectopic ACTH syndrome, congenital adrenal hyperplasia, primary aldosteronism, cortisol excess
MeSH terms
Adrenal Cortex Diseases, Adrenal Gland Neoplasms, Adrenal Glands, Adrenal Hyperplasia, Congenital, Cushing Syndrome, Humans, Hydrocortisone, Hyperaldosteronism, Hyperplasia, Metabolism, Inborn Errors, Receptors, Glucocorticoid

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