Pigmented Nodular Adrenocortical Disease, Primary, 2, also known as ppnad2, is related to primary pigmented nodular adrenocortical disease, and has symptoms including agitation An important gene associated with Pigmented Nodular Adrenocortical Disease, Primary, 2 is PDE11A (Phosphodiesterase 11A). Affiliated tissues include cortex and skin, and related phenotypes are pigmented micronodular adrenocortical disease and increased circulating cortisol level