Infantile acne as the initial sign of an adrenocortical tumor

Margaret Wing Yan Mann, Susan Schroeder Ellis, Susan Bayliss Mallory

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

A 23-month-old boy with persistent acne since 6 months of age had signs of virilization and accelerated growth. Hormone evaluation indicated increased levels of dehydroepiandrosterone (DHEA) and testosterone. Ultrasound and abdominal computed tomographic scan revealed a large adrenal mass consistent with an adrenocortical tumor. The patient underwent surgical excision of the well-encapsulated tumor with normalization of his hormones and no subsequent recurrence. Although rare, childhood adrenocortical tumors have a poor prognosis, with the majority of tumors having regional and metastatic disease. Because early diagnosis and complete surgical excision improve prognosis, children with refractory infantile acne should be evaluated for signs of virilization and accelerated growth. Laboratory evaluation should include luteinizing hormone, follicle-stimulating hormone, total and free testosterone cortisol, DHEA, and its sulfate (DHEA-S). Elevated levels of DHEA and DHEA-S should prompt an aggressive diagnostic evaluation for an adrenocortical tumor.

Original languageEnglish
Pages (from-to)S15-S18
JournalJournal of the American Academy of Dermatology
Volume56
Issue number2 SUPPL.
DOIs
StatePublished - Feb 2007

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