Fady Hannah-Shmouni, MD FRCPC Profile picture
Physician-Investor | Internist, Endocrinologist & Geneticist; professor @UBCMedicine | Managing Partner, FHS Capital | Vibe coder https://t.co/naap6H1R8h

Mar 30, 2021, 6 tweets

Carney triad vs. Carney dyad 🧬 #endotips (thread👇)

A diagnosis of Carney triad requires co-existing paraganglioma (PGL), pulmonary chondroma, and gastrointestinal stromal tumor (GIST) with either a germline pathogenic variant in SDHx or SDHC locus-specific hypermethylation

In contrast, Carney dyad is the association of PGL and GIST with a germline pathogenic variant in SDHx. Don't confuse them with Carney complex, an autosomal dominant lentiginosis syndrome with myxomas, endocrine tumors or overactivity, and schwannomas👇

Carney-Stratakis syndrome is another name for Carney diad (discovered by two giants in the field, Dr Aidan Carney from @MayoClinic and Dr Constantine Stratakis from @NIH)

Carney triad has a fourth component, adrenal cortical adenoma (either micro or macro) or hyperplasia + subclinical hypercortisolism: the only known disease with predisposition to BOTH adrenocortical and adrenomedullary (pheochromocytoma) lesions

journals.lww.com/ajsp/Fulltext/…

Carney triad can cause MACROnodular disease, as shown herein:

frontiersin.org/articles/10.33…

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