Laparoscopic Extirpation of Adrenal Gland Ganglioneuroma Incidentally Diagnosed During Evaluation for Patchy Alopecia Areata in an Adolescent Boy

Abstract

We present a 17-year-old boy with an incidentally diagnosed left adrenal ganglioneuroma (GN) during the diagnostic work up of alopecia areata (AA). Clinical Presentation and Intervention Laboratory investigations revealed only vitamin D deficiency. Laparoscopic adrenalectomy was performed and GN was confirmed histologically. At follow-up, the vitamin D supplements improved the vitamin D levels followed by the gradual regression of AA. However, AA recurred 18 months later despite the normal serum vitamin D levels and no tumor recurrence. Conclusion. Further studies should reveal the relationship between AA and GN as well as the role of vitamin D in AA.