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Elevated urinary epinephrine level

MedGen UID:
358197
Concept ID:
C1868393
Finding
Synonym: Elevated urinary epinephrine
 
HPO: HP:0003639

Definition

The concentration of epinephrine in the urine, normalized for urine concentration, is above the upper limit of normal. [from HPO]

Term Hierarchy

Conditions with this feature

Multiple endocrine neoplasia type 2A
MedGen UID:
9958
Concept ID:
C0025268
Neoplastic Process
Multiple endocrine neoplasia type 2 (MEN2) includes the following phenotypes: MEN2A, familial medullary thyroid carcinoma (FMTC, which may be a variant of MEN2A), and MEN2B. All three phenotypes involve high risk for development of medullary carcinoma of the thyroid (MTC); MEN2A and MEN2B involve an increased risk for pheochromocytoma; MEN2A involves an increased risk for parathyroid adenoma or hyperplasia. Additional features of MEN2B include mucosal neuromas of the lips and tongue, distinctive facies with enlarged lips, ganglioneuromatosis of the gastrointestinal tract, and a marfanoid habitus. MTC typically occurs in early childhood in MEN2B, early adulthood in MEN2A, and middle age in FMTC.
Multiple endocrine neoplasia type 2B
MedGen UID:
9959
Concept ID:
C0025269
Neoplastic Process
Multiple endocrine neoplasia type 2 (MEN2) includes the following phenotypes: MEN2A, familial medullary thyroid carcinoma (FMTC, which may be a variant of MEN2A), and MEN2B. All three phenotypes involve high risk for development of medullary carcinoma of the thyroid (MTC); MEN2A and MEN2B involve an increased risk for pheochromocytoma; MEN2A involves an increased risk for parathyroid adenoma or hyperplasia. Additional features of MEN2B include mucosal neuromas of the lips and tongue, distinctive facies with enlarged lips, ganglioneuromatosis of the gastrointestinal tract, and a marfanoid habitus. MTC typically occurs in early childhood in MEN2B, early adulthood in MEN2A, and middle age in FMTC.

Professional guidelines

PubMed

Gubbi S, Mathias P, Palaiodimos L, Hulkower R, Schubart U
Hormones (Athens) 2023 Mar;22(1):121-130. Epub 2023 Jan 4 doi: 10.1007/s42000-022-00422-6. PMID: 36596928
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Am J Pediatr Hematol Oncol 1985 Fall;7(3):221-7. doi: 10.1097/00043426-198507030-00002. PMID: 3934994

Recent clinical studies

Etiology

Hirsch D, Grossman A, Nadler V, Alboim S, Tsvetov G
J Clin Hypertens (Greenwich) 2019 Oct;21(10):1527-1533. Epub 2019 Sep 5 doi: 10.1111/jch.13657. PMID: 31486577Free PMC Article
LoVerde D, Iweala OI, Eginli A, Krishnaswamy G
Chest 2018 Feb;153(2):528-543. Epub 2017 Aug 8 doi: 10.1016/j.chest.2017.07.033. PMID: 28800865Free PMC Article
Oei TP, Dingle GA, McCarthy M
Behav Cogn Psychother 2010 Jul;38(4):479-83. Epub 2010 Mar 26 doi: 10.1017/S1352465810000093. PMID: 20338081
Evans GW, Johnson D
J Appl Psychol 2000 Oct;85(5):779-83. doi: 10.1037/0021-9010.85.5.779. PMID: 11055149
Yunus MB, Dailey JW, Aldag JC, Masi AT, Jobe PC
J Rheumatol 1992 Jan;19(1):95-7. PMID: 1556708

Diagnosis

Gubbi S, Mathias P, Palaiodimos L, Hulkower R, Schubart U
Hormones (Athens) 2023 Mar;22(1):121-130. Epub 2023 Jan 4 doi: 10.1007/s42000-022-00422-6. PMID: 36596928
Hirsch D, Grossman A, Nadler V, Alboim S, Tsvetov G
J Clin Hypertens (Greenwich) 2019 Oct;21(10):1527-1533. Epub 2019 Sep 5 doi: 10.1111/jch.13657. PMID: 31486577Free PMC Article
LoVerde D, Iweala OI, Eginli A, Krishnaswamy G
Chest 2018 Feb;153(2):528-543. Epub 2017 Aug 8 doi: 10.1016/j.chest.2017.07.033. PMID: 28800865Free PMC Article
Magill SB, Fritsche CM, Klinger DE, Tector AJ, Shaker JL
Endocr Pract 2006 Sep-Oct;12(5):545-51. doi: 10.4158/EP.12.5.545. PMID: 17002930
Kaye J, Edlin S, Thompson I, Leedma PJ
Endocrine 2001 Jul;15(2):203-4. doi: 10.1385/endo:15:2:203. PMID: 11720247

Therapy

Wan W, Nguyen B, Graybill S, Kim J
BMJ Case Rep 2019 Jun 25;12(6) doi: 10.1136/bcr-2018-228263. PMID: 31243023Free PMC Article
LoVerde D, Iweala OI, Eginli A, Krishnaswamy G
Chest 2018 Feb;153(2):528-543. Epub 2017 Aug 8 doi: 10.1016/j.chest.2017.07.033. PMID: 28800865Free PMC Article
Turková H, Petrák O, Skrha J, Widimský J Jr, Zelinka T
Physiol Res 2013;62(3):331-5. Epub 2013 Mar 14 doi: 10.33549/physiolres.932449. PMID: 23489186
Evans GW, Johnson D
J Appl Psychol 2000 Oct;85(5):779-83. doi: 10.1037/0021-9010.85.5.779. PMID: 11055149
Feldman JM
J Clin Pharmacol 1987 Apr;27(4):288-92. doi: 10.1002/j.1552-4604.1987.tb03015.x. PMID: 3680586

Prognosis

Hirsch D, Grossman A, Nadler V, Alboim S, Tsvetov G
J Clin Hypertens (Greenwich) 2019 Oct;21(10):1527-1533. Epub 2019 Sep 5 doi: 10.1111/jch.13657. PMID: 31486577Free PMC Article
Oei TP, Dingle GA, McCarthy M
Behav Cogn Psychother 2010 Jul;38(4):479-83. Epub 2010 Mar 26 doi: 10.1017/S1352465810000093. PMID: 20338081
Kaye J, Edlin S, Thompson I, Leedma PJ
Endocrine 2001 Jul;15(2):203-4. doi: 10.1385/endo:15:2:203. PMID: 11720247
Gurrera RJ, Romero JA
Biol Psychiatry 1992 Aug 15;32(4):334-43. doi: 10.1016/0006-3223(92)90037-z. PMID: 1420647
Hoover EL, Weaver WL
J Natl Med Assoc 1989 Jul;81(7):777-9. PMID: 2666677Free PMC Article

Clinical prediction guides

Ji J, Wang Y, Chen B, Xu X, Lv M
BMC Pediatr 2025 Mar 1;25(1):156. doi: 10.1186/s12887-025-05500-3. PMID: 40025451Free PMC Article
Hirsch D, Grossman A, Nadler V, Alboim S, Tsvetov G
J Clin Hypertens (Greenwich) 2019 Oct;21(10):1527-1533. Epub 2019 Sep 5 doi: 10.1111/jch.13657. PMID: 31486577Free PMC Article
Kwon SY, Lee KS, Lee JN, Ha YS, Choi SH, Kim HT, Kim TH, Yoo ES, Kwon TG
Investig Clin Urol 2016 May;57(3):184-90. Epub 2016 May 2 doi: 10.4111/icu.2016.57.3.184. PMID: 27194549Free PMC Article
Sato T, Igarashi N, Maruyama H, Okabe T
Acta Paediatr Jpn 1989 Feb;31(1):17-23. doi: 10.1111/j.1442-200x.1989.tb01264.x. PMID: 2504022
Adams MA, Hirst M
Life Sci 1983 Aug 8;33(6):547-54. doi: 10.1016/0024-3205(83)90129-7. PMID: 6224996

Recent systematic reviews

Giannakodimos I, Ziogou A, Giannakodimos A, Mitakidi E, Tzelepis K, Fragkiadis E, Charalampakis N
Rev Recent Clin Trials 2024;19(3):189-195. doi: 10.2174/0115748871293735240209052044. PMID: 38549519

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