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. 2020 May 11;114(4 Suppl 1):31–33. [Article in Portuguese] doi: 10.36660/abc.20190405

Table 2. – Major diagnostic criteria according to Stratakis.

1 - Cutaneous lentiginosis with typical distribution (lips, conjunctiva, mucous membranes)
2 - Myxoma (cutaneous and mucosal) or cardiac myxoma
3 - Mammary myxomatosis or MRI findings suggestive of the diagnosis
4 - Pigmented primary nodular disease or paradoxical increase in the excretion of urinary glucocorticoids after dexamethasone administration
5 - Acromegaly associated with pituitary adenoma producing GH
6 - Testicular tumor of large calcified sertoli cells or presence of calcifications in testicular ultrasound
7 - Thyroid carcinoma or presence of multiple hypoechoic nodules in prepubertal thyroid ultrasound
8 - Psammomatous melanocytic schwannomas
9 - Blue nevus, multiple epithelioid blue nevus
10 - Multiple ductal mammary adenomas
11 - Osteochondromyoma
Supplementary Criteria
1 - Affected family member
2 - Presence of inactivating mutations of the PRKAR1A gene
3 - Activating variants of the PRKACA gene or PRKACB gene