Any primary pigmented nodular adrenocortical disease in which the cause of the disease is a mutation in the PRKAR1A gene. The disease is Monarch Disease Ontology identifier MONDO_0012509 (pigmented nodular adrenocortical disease, primary, 1). Also known as: PRKAR1A primary pigmented nodular adrenocortical disease, pigmented nodular adrenocortical disease, primary, type 1, primary pigmented nodular adrenocortical disease caused by mutation in PRKAR1A.