Tan Without the Sun: A Case of Nelson’s Syndrome

Abstract

Nelson’s syndrome (NS) is a rare complication following bilateral adrenalectomy.1 We report a case of NS in a 53-year old female with headache and generalized hyperpigmentation. She had bilateral adrenalectomy for Cushing’s syndrome (CS) secondary to adrenal hyperplasia 22 years prior. Early routine surveillance and extensive patient discussion regarding the lifelong impact of NS is imperative.