Adrenal medullary hyperplasia: a rare etiology of hypertension - A case report

Adrenal medullary hyperplasia is often misdiagnosed. The clinical features may resemble those of pheochromocytoma, with paroxysmal hypertension and el evated urinary catecholamine and metanephrine levels. Pathologic study show s diffuse or nodular adrenal medullary hyperplasia, determined by morphomet ric analysis: increased adrenal gland weight, increased relative medullary volume, increased relative medullary weight, decreased cortico-medullary ra tio. Adrenal medullary hyperplasia may be primary or sporadic but is often associated with multiple endocrine neoplasia (MEN) type II.