Chromaffin cells are the hormone-producing cells of the adrenal medulla. They are modified sympathetic neurons that release adrenaline and noradrenaline directly into the blood when stimulated by sympathetic nerves.
| Location | Adrenal medulla; small clusters in sympathetic paraganglia |
|---|---|
| Secretes |
|
| Nerve Supply | Preganglionic sympathetic fibres from the greater splanchnic nerves (T5-T9) |
| Blood Supply | Superior, middle and inferior suprarenal arteries |
| Venous drainage |
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| Lymphatic drainage |
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Release stress hormones that raise heart rate, blood pressure, blood glucose and blood flow to muscles during fight-or-flight and exercise.
Tumours of chromaffin cells (phaeochromocytoma and paraganglioma) cause attacks of high blood pressure, pounding heart, sweating and headache, and are diagnosed with plasma or urine metanephrines. Surgery needs careful preparation with alpha-blockers.
A chromaffin cell tumour releasing excess catecholamines, causing episodic hypertension.
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