肾上腺结核临床鲜见，由于本例是以阵发性高血压、右肾上腺肿块为主要症状，故术前易误诊为嗜铬细胞瘤。本例经手术及病理诊断才确诊为肾上腺结核。现报告如下。患者，男，35岁。1991年1月起出现阵发性头痛、头晕、眼花、心悸。血压28／21kPa，发作时可高达32／25kPa，服安体舒 Adrenal tuberculosis clinical rare, because this case is based on paroxysmal hypertension, right adrenal mass as the main symptom, it is easy to misdiagnose preoperative pheochromocytoma. This case was diagnosed by surgery and pathological diagnosis of adrenal tuberculosis. The report is as follows. Patient, male, 35 years old. January 1991 onset of paroxysmal headache, dizziness, vertigo, palpitations. Blood pressure 28 / 21kPa, attack can be as high as 32 / 25kPa, service safety body Shu