Abstract
Bilateral Macronodular Adrenocortical Disease (BMAD), first described in 1964 by Kirshner et al (1), is a rare (less than 2%) heterogeneous condition associated with endogenous Cushing's Syndrome (CS). BMAD is characterized by the formation of adrenal macronodules, usually bilateral, which secrete mainly cortisol in a variable manner and consequently greatly influence the phenotypic expre…