Adrenal gland and paraganglia
Adrenal insufficiency
Amyloidosis

Reviewer: Nat Pernick, M.D. (see Authors page)

Revised: 25 January 2016, last major update February 2005

Copyright: (c) 2002-2016, PathologyOutlines.com, Inc.

PubMed Search: Amyloidosis adrenal
Definition / General
  • Rarely causes cortical hypofunction, only if extensive bilateral involvement
  • Usually associated with systemic amyloidosis-AA type
  • 68% of consecutive autopsies had adrenal amyloid deposits, often multinodular and probably due to aging
Micro Description
  • Typically affects zona fasciculata and reticularis
  • Acellular salmon-pink amorphous material is present between cortical cells, which ultimately become atrophic
  • Amyloidosis-AL type is typically deposited intravascularly
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Amyloidosis

Differential Diagnosis
  • Infarction related changes