McCune-Albright Syndrome

Polyostotic Fibrous Dysplasia

Doreen Bradley Satter, RN
McCune-Albright Syndrome is a genetic condition. It is unique among all genetic diseases as it is the only genetic disease that is never inherited. Each person with McCune-Albright Syndrome is totally unique.

Some characteristics of this disease are irregularities in the pigment of the skin causing cafe-au-lait spots; bone diseases which cause bone weakness, fractures, deformities in the legs, arms and skull; and endocrine problems. The endocrine system is the hormone-producing system of the body and this disease can cause early puberty (precocious puberty) and increased growth rage. Precocious puberty is far more common in affected girls than boys but other manifestations of McCune-Albright Syndrome occur equally in both sexes.

The first symptom of characteristic lesions of cafe-au-lait spots is often present at birth. These are large, flat, light brown spots. They are distinguished by the serrated borders which is called "coast of Main" and they have the tendency to stop abruptly at the midline of the body. Many other children have cafe-au-lait spots, but normally these have smooth borders and they are called, "coast of California".

The People with McCune-Albright Syndrome have different levels of severity. Sufferers can be affected by all these characteristics to different degrees and some may have the condition and have no noticeable problems at all.

McCune-Albright Syndrome is listed as a rare disease which means it affects less than 200,000 people in the US population. The following are a list of signs and symptoms for McCune-Albright Syndrome:

Bone disease--fibrous growths in bones:

Fractures

Bone deformity

Leg deformity

Arm deformities

Jaw deformity

Sex Hormone Problems:

Early puberty (most often seen in girls)

Early menstruation (as early as 4 months of age)

Early breast development (as young as 4 months)

Early development of testes

Early public hair

Early underarm hair

Increased rate of growth

Ovarian cysts

Irregular menstrual bleeding

Skin Changes (seen in about 50% of cases and is often present in infancy)

"Cafe-au-lait" spots

Increased pigment

Thyroid Gland Abnormalities (in about 50% of the cases)

Goiter

Thyroid nodules

Pituitary Gland Problems

Acromegaly-like symptoms (tallness)

Coarse facial features

Enlarged hands

Enlarged feet

Arthritis

Adrenal Gland Problems

Cushing's syndrome-like symptoms (growth failure and hypertension in infancy)

Weight gain

Skin fragility

Delayed growth

Phosphorus Problems

Excessive phosphate in urine

Rickets

Apart from a small group of patients that develop malignancies, McCune-Albright Syndrome is not associated with a significantly increased mortality risk.

Properly treated, the prognosis for people with McCune-Albright Syndrome is excellent for longevity and intelligence.

Published by Doreen Bradley Satter, RN

DOREEN BRADLEY SATTER, RN is a mostly-retired Registered Nurse, Artist, Published Author and Freelance Writer and has been writing for the Yahoo! Contributor Network for several years. She has one published...  View profile

  • The first symptom is usually 'cafe-au-lait' spots.
  • McCune-Albright Syndrome is listed as a rare disease.
  • Properly treated, the prognosis for people with McCune-Albright Syndrome is excellent.
It is unique among all genetic diseases as it is the only genetic disease that is never inherited.

To comment, please sign in to your Yahoo! account, or sign up for a new account.