Adrenal myelolipoma in association with congenital adrenal hyperplasia
The article by Decmann et al. titled “Adrenal myelolipoma: a comprehensive review”  was interesting and informative, in which the authors comprehensively analyzed adrenal myelolipomas by reviewing available articles on databases and their cases. Adrenal myelolipomas are the second most common primary adrenal incidentalomas following adrenocortical adenomas. According to their data, 10% of patients with myelolipoma had congenital adrenal hyperplasia (CAH) and 18.3% of all adrenal myelolipomas were associated with an endocrine disorder. Thus, they stated that the clinical picture should be considered a major factor in determining the necessity for hormonal work-up . This proposal is meaningful because adrenal myelolipoma is considered a tumor that does not secrete hormones and is an exception to mandatory hormonal evaluations [2, 3]. In addition to their assertions, it is important to check whether patients with myelolipoma have CAH. This letter describes an...
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The author declares that she has no conflict of interest.
The patient provided written informed consent for publication of this case report.
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