Question

why does my patient have elevated levels of epinephrine, aldosterone and angiotensin?

Answer 1

#. Overproduction of adrenaline/noradrenaline may be caused by an adrenal tumour called pheochromocytoma or a paraganglioma (if it is located outside the adrenal but along the nerves of sympathetic nervous system that run through the chest and abdomen).

#. Hyperaldosteronism can be caused by a tumor (usually a noncancerous adenoma) in the adrenal gland (a condition called Conn syndrome or primary hyperaldosteronism), although sometimes both glands are involved and are overactive. Sometimes hyperaldosteronism is a response to something else (a condition called secondary hyperaldosteronism), for example, certain diseases, such as very high blood pressure (hypertension) or narrowing of one of the arteries to the kidneys.

#. Increased levels are found in diseases such as sarcoidosis , Gaucher's disease, atypical mycobacterial disease, leprosy, lymphangiomyomatosis, diabetes mellitus with severe retinopathy and osteo arthritis.