title: Functioning adrenal myelolipoma: A rare cause of hypertension.
abstract: Co-occurrence of adrenal incidentaloma with hypertension calls for evaluation of endocrine causes including pheochromocytoma, Cushing's disease, and primary aldosteronism. We are reporting 40-years-old man who presented with hypertension and adrenal mass. He had elevated metanephrines, histology of resected adrenal mass revealed adrenal myelolipoma, and immuno-histochemistry was positive for chromogranin A. Both his blood pressure and urinary metanephrines returned to normal after surgery. The association of hypertension and adrenal myelolipoma may not be entirely coincidental, as it may be associated with secreting catecholamine. Literature on such an uncommon association is reviewed briefly as well.
authors.affiliation: Department of Endocrinology, Osmania Medical College, Osmania General Hospital, Afzalgunj Hyderabad, Andhra Pradesh, India.
authors.forename: Nagendar
authors.initials: N
authors.lastname: Jakka
authors.forename: J
authors.initials: J
authors.lastname: Venkateshwarlu
authors.forename: Naga
authors.initials: N
authors.lastname: Satyavani
authors.forename: K
authors.initials: K
authors.lastname: Neelaveni
authors.forename: Jayanthy
authors.initials: J
authors.lastname: Ramesh
keywords: Adrenal myelolipoma; chromogranin A; hypertension; metanephrines; pheochromocytoma