A CASE OF SKIN HYPERPIGMENTATION DUE TO ALPHA-MSH HYPERSECRETION

被引:27
作者
PEARS, JS
JUNG, RT
BARTLETT, W
BROWNING, MCK
KENICER, K
THODY, AJ
机构
[1] UNIV DUNDEE,NINEWELLS HOSP & MED SCH,DEPT BIOCHEM MED,DUNDEE DD1 9SY,SCOTLAND
[2] UNIV DUNDEE,NINEWELLS HOSP & MED SCH,DEPT DERMATOL,DUNDEE DD1 9SY,SCOTLAND
[3] UNIV NEWCASTLE UPON TYNE,ROYAL VICTORIA INFIRM,DEPT DERMATOL,NEWCASTLE TYNE NE1 4LP,TYNE & WEAR,ENGLAND
关键词
D O I
10.1111/j.1365-2133.1992.tb00660.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
A case is presented of generalized skin hyperpigmentation due to alpha-MSH hypersecretion from the pituitary that was most marked in the light-exposed areas. The patient also had secondary adrenal dysfunction, peripheral lymphadenopathy, streptococcal glomerulonephritis and malabsorption. Analysis of this patient's alpha-MSH using high-pressure liquid chromatography (HPLC) showed a novel acetylation profile compared to normal individuals and to patients with Cushing's disease and Nelson's syndrome. Glucocorticoid replacement therapy resulted in suppression of alpha-MSH hypersecretion and complete resolution of the illness.
引用
收藏
页码:286 / 289
页数:4
相关论文
共 20 条
[1]  
BURCHILL S A, 1991, Journal of Dermatological Science, V2, P281, DOI 10.1016/0923-1811(91)90052-Y
[2]   TYROSINASE SYNTHESIS IN DIFFERENT SKIN TYPES AND THE EFFECTS OF ALPHA-MELANOCYTE-STIMULATING HORMONE AND CYCLIC-AMP [J].
BURCHILL, SA ;
MARKS, JM ;
THODY, AJ .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1990, 95 (05) :558-561
[3]   PEPTIDES RELATED TO ALPHA-MELANOCYTE-STIMULATING HORMONE ARE COMMONLY PRODUCED BY HUMAN PITUITARY CORTICOTROPH ADENOMAS - NO RELATIONSHIP WITH PARS-INTERMEDIA ORIGIN [J].
COATES, PJ ;
DONIACH, I ;
WELLS, C ;
HALE, AC ;
REES, LH ;
BESSER, GM .
JOURNAL OF ENDOCRINOLOGY, 1989, 120 (03) :531-&
[4]   DEMONSTRATION OF DESACETYL ALPHA-MELANOCYTE-STIMULATING HORMONE IN FETAL AND ADULT HUMAN ANTERIOR-PITUITARY CORTICOTROPHS [J].
COATES, PJ ;
DONIACH, I ;
HOLLY, JMP ;
REES, LH .
JOURNAL OF ENDOCRINOLOGY, 1989, 120 (03) :525-+
[5]   C-REACTIVE PROTEIN, LEUKOCYTES, AND FEVER AFTER CENTRAL IL-1 AND ALPHA-MSH IN AGED RABBITS [J].
DAO, TK ;
BELL, RC ;
FENG, J ;
JAMESON, DM ;
LIPTON, JM .
AMERICAN JOURNAL OF PHYSIOLOGY, 1988, 254 (03) :R401-R409
[6]  
Eberle A. N., 1988, MELANOTROPINS CHEM P
[7]   DOPAMINE ACTS ON ACETYLATION OF PROOPIOMELANOCORTIN-DERIVED PRODUCTS IN DOG PITUITARY [J].
FACCHINETTI, F ;
PEREZFERNANDEZ, R ;
TOMA, MO ;
GAUDIERO, GJ ;
LECHUGA, MJ ;
DEVESA, J ;
GENAZZANI, AR .
ACTA ENDOCRINOLOGICA, 1988, 117 (01) :33-38
[8]   ALPHA-MSH PEPTIDES INHIBIT ACUTE-INFLAMMATION AND CONTACT SENSITIVITY [J].
HILTZ, ME ;
LIPTON, JM .
PEPTIDES, 1990, 11 (05) :979-982
[9]  
KANNAN CR, 1988, PITUITARY GLAND CLIN, V1
[10]   ADRENOCORTICOTROPIN-SECRETING PITUITARY-ADENOMAS ORIGINATE FROM THE ANTERIOR OR THE INTERMEDIATE LOBE IN CUSHINGS-DISEASE - DIFFERENCES IN THE REGULATION OF HORMONE-SECRETION [J].
LAMBERTS, SWJ ;
DELANGE, SA ;
STEFANKO, SZ .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1982, 54 (02) :286-291